Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.50 / $29.51 / $29.51	Facility	26	$24.50	$29.51	$29.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.99 / $50.71 / $94.11	Professional		$37.99	$50.71	$94.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.25 / $32.97 / $82.84	Professional	26	$25.25	$32.97	$82.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.74 / $14.39 / $33.59	Professional	TC	$12.74	$14.39	$33.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.88 / $54.90 / $65.42	Professional	26	$30.88	$54.90	$65.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.63 / $21.87 / $29.72	Professional	TC	$15.63	$21.87	$29.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.32 / $43.56 / $95.88	Professional		$24.32	$43.56	$95.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.98 / $21.51 / $61.79	Professional	26	$15.98	$21.51	$61.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $7.23 / $14.39 / $35.03	Professional	TC	$7.23	$14.39	$35.03
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $39.90 / $45.87 / $81.28	Facility	26	$39.90	$45.87	$81.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Professional		$39.83	$39.83	$39.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $33.58 / $116.12	Professional		$11.34	$33.58	$116.12
United Facility/Professional Professional Modifier Low / Median / High Price $32.76 / $52.82 / $98.16	Professional		$32.76	$52.82	$98.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.40 / $34.83 / $59.55	Professional	26	$21.40	$34.83	$59.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.77 / $16.78 / $31.79	Professional	TC	$9.77	$16.78	$31.79
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $182.16 / $182.16 / $182.16	Facility	26	$182.16	$182.16	$182.16
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $353.10 / $353.10 / $455.70	Professional		$353.10	$353.10	$455.70
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $231.59 / $231.59 / $291.60	Professional	26	$231.59	$231.59	$291.60
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $121.51 / $121.51 / $164.10	Professional	TC	$121.51	$121.51	$164.10