Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.18 / $70.08 / $70.08	Facility	26	$56.18	$70.08	$70.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.62 / $123.73 / $306.05	Professional		$80.62	$123.73	$306.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.17 / $75.05 / $189.95	Professional	26	$58.17	$75.05	$189.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.04 / $25.26 / $61.21	Professional	TC	$18.04	$25.26	$61.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.34 / $120.10 / $193.46	Professional	26	$73.34	$120.10	$193.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.18 / $36.00 / $91.76	Professional	TC	$24.18	$36.00	$91.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.30 / $89.48 / $207.70	Professional		$55.30	$89.48	$207.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.96 / $63.84 / $136.50	Professional	26	$39.96	$63.84	$136.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.67 / $25.64 / $76.81	Professional	TC	$12.67	$25.64	$76.81
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $113.00 / $113.00 / $180.00	Facility	26	$113.00	$113.00	$180.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $2.70 / $2.70	Professional		$2.70	$2.70	$2.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $70.43 / $254.71	Professional		$17.97	$70.43	$254.71
United Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $110.58 / $213.30	Professional		$68.31	$110.58	$213.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.43 / $81.86 / $145.49	Professional	26	$49.43	$81.86	$145.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.05 / $31.00 / $68.26	Professional	TC	$15.05	$31.00	$68.26
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $429.02 / $429.02 / $429.02	Facility	26	$429.02	$429.02	$429.02
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $745.14 / $745.14 / $943.13	Professional		$745.14	$745.14	$943.13
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $538.00 / $538.00 / $687.38	Professional	26	$538.00	$538.00	$687.38
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $340.13 / $340.13 / $340.13	Professional	TC	$340.13	$340.13	$340.13