Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.47 / $38.24 / $38.24	Facility	26	$31.47	$38.24	$38.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.11 / $331.53 / $433.12	Professional		$303.11	$331.53	$433.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.19 / $42.60 / $98.39	Professional	26	$32.19	$42.60	$98.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $270.92 / $344.11 / $430.19	Professional	TC	$270.92	$344.11	$430.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.01 / $73.18 / $93.25	Professional	26	$40.01	$73.18	$93.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $289.64 / $404.88 / $617.66	Professional	TC	$289.64	$404.88	$617.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.94 / $252.87 / $716.37	Professional		$194.94	$252.87	$716.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.87 / $27.73 / $82.34	Professional	26	$22.87	$27.73	$82.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $170.60 / $224.93 / $625.51	Professional	TC	$170.60	$224.93	$625.51
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $40.01 / $55.41 / $138.25	Facility	26	$40.01	$55.41	$138.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $191.75 / $191.75 / $191.75	Professional		$191.75	$191.75	$191.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.63 / $238.08 / $1,429.26	Professional		$29.63	$238.08	$1,429.26
United Facility/Professional Professional Modifier Low / Median / High Price $238.79 / $421.21 / $720.64	Professional		$238.79	$421.21	$720.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.96 / $46.33 / $84.41	Professional	26	$27.96	$46.33	$84.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $209.55 / $371.48 / $639.22	Professional	TC	$209.55	$371.48	$639.22
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $233.75 / $233.75 / $233.75	Facility	26	$233.75	$233.75	$233.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,779.34 / $2,779.34 / $3,419.93	Professional		$2,779.34	$2,779.34	$3,419.93
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $306.82 / $306.82 / $376.73	Professional	26	$306.82	$306.82	$376.73
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $2,481.83 / $2,481.83 / $3,043.20	Professional	TC	$2,481.83	$2,481.83	$3,043.20