Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.57 / $20.28 / $20.28	Facility	26	$16.57	$20.28	$20.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.68 / $54.89 / $140.41	Professional		$47.68	$54.89	$140.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.98 / $22.60 / $39.50	Professional	26	$19.98	$22.60	$39.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.55 / $34.90 / $100.89	Professional	TC	$30.55	$34.90	$100.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $70.84 / $70.84	Professional		$70.84	$70.84	$70.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.22 / $39.15 / $59.20	Professional	26	$21.22	$39.15	$59.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.87 / $40.10 / $72.19	Professional	TC	$30.87	$40.10	$72.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.92 / $41.35 / $112.84	Professional		$23.92	$41.35	$112.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.98 / $15.89 / $43.98	Professional	26	$11.98	$15.89	$43.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.77 / $25.34 / $67.94	Professional	TC	$11.77	$25.34	$67.94
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $23.11 / $34.00 / $57.19	Facility	26	$23.11	$34.00	$57.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $13.50 / $13.50	Professional		$13.50	$13.50	$13.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $49.95 / $133.22	Professional		$15.68	$49.95	$133.22
United Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $61.03 / $101.56	Professional		$31.70	$61.03	$101.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.61 / $24.73 / $42.85	Professional	26	$14.61	$24.73	$42.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.55 / $35.20 / $63.66	Professional	TC	$17.55	$35.20	$63.66
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $125.12 / $125.12 / $125.12	Facility	26	$125.12	$125.12	$125.12
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $453.03 / $453.03 / $698.48	Professional		$453.03	$453.03	$698.48
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $158.49 / $201.08	Professional	26	$158.49	$158.49	$201.08
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $300.38 / $300.38 / $497.40	Professional	TC	$300.38	$300.38	$497.40