Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.16 / $20.02 / $20.02	Facility	26	$16.16	$20.02	$20.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.46 / $56.43 / $72.11	Professional		$47.46	$56.43	$72.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.91 / $20.26 / $35.21	Professional	26	$16.91	$20.26	$35.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.21 / $34.72 / $45.77	Professional	TC	$27.21	$34.72	$45.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.95 / $37.25 / $47.56	Professional	26	$20.95	$37.25	$47.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.14 / $41.98 / $76.06	Professional	TC	$30.14	$41.98	$76.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $39.70 / $108.00	Professional		$26.30	$39.70	$108.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.78 / $17.62 / $43.98	Professional	26	$11.78	$17.62	$43.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.13 / $26.27 / $67.98	Professional	TC	$13.13	$26.27	$67.98
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $22.77 / $34.00 / $56.38	Facility	26	$22.77	$34.00	$56.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $22.50 / $22.50	Professional		$22.50	$22.50	$22.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $53.31 / $118.19	Professional		$15.68	$53.31	$118.19
United Facility/Professional Professional Modifier Low / Median / High Price $32.45 / $55.71 / $97.51	Professional		$32.45	$55.71	$97.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.40 / $23.13 / $42.16	Professional	26	$14.40	$23.13	$42.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.50 / $34.15 / $60.62	Professional	TC	$18.50	$34.15	$60.62
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $123.31 / $123.31 / $123.31	Facility	26	$123.31	$123.31	$123.31
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $466.08 / $466.08 / $704.18	Professional		$466.08	$466.08	$704.18
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $186.58 / $186.58 / $198.23	Professional	26	$186.58	$186.58	$198.23
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $309.75 / $309.75 / $505.88	Professional	TC	$309.75	$309.75	$505.88