Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.80 / $96.62 / $96.62	Facility	26	$80.80	$96.62	$96.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.83 / $190.29 / $273.68	Professional		$161.83	$190.29	$273.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.42 / $101.26 / $156.22	Professional	26	$86.42	$101.26	$156.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.41 / $89.03 / $122.42	Professional	TC	$75.41	$89.03	$122.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $101.12 / $183.24 / $291.67	Professional	26	$101.12	$183.24	$291.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $95.32 / $169.46 / $245.48	Professional	TC	$95.32	$169.46	$245.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $190.29 / $472.76	Professional		$112.28	$190.29	$472.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.29 / $112.06 / $230.06	Professional	26	$63.29	$112.06	$230.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.88 / $74.40 / $204.57	Professional	TC	$48.88	$74.40	$204.57
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $190.79 / $209.00 / $268.00	Facility	26	$190.79	$209.00	$268.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $225.00 / $225.00	Professional		$225.00	$225.00	$225.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $127.09 / $352.75	Professional		$68.84	$127.09	$352.75
United Facility/Professional Professional Modifier Low / Median / High Price $134.74 / $224.56 / $443.81	Professional		$134.74	$224.56	$443.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.45 / $119.58 / $227.61	Professional	26	$74.45	$119.58	$227.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $59.22 / $91.57 / $212.94	Professional	TC	$59.22	$91.57	$212.94
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $581.40 / $581.40 / $581.40	Facility	26	$581.40	$581.40	$581.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,548.81 / $1,548.81 / $1,941.23	Professional		$1,548.81	$1,548.81	$1,941.23
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $836.46 / $836.46 / $931.13	Professional	26	$836.46	$836.46	$931.13
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $806.89 / $806.89 / $1,010.10	Professional	TC	$806.89	$806.89	$1,010.10