Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.85 / $33.42 / $33.42	Facility	26	$26.85	$33.42	$33.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.98 / $108.74 / $267.56	Professional		$90.98	$108.74	$267.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.58 / $32.29 / $64.17	Professional	26	$27.58	$32.29	$64.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.41 / $71.88 / $203.38	Professional	TC	$63.41	$71.88	$203.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.97 / $105.76 / $140.88	Professional	26	$34.97	$105.76	$140.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $87.19 / $144.36 / $207.85	Professional	TC	$87.19	$144.36	$207.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $111.43 / $262.64	Professional		$65.11	$111.43	$262.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.19 / $37.77 / $99.98	Professional	26	$20.19	$37.77	$99.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.49 / $71.88 / $172.48	Professional	TC	$41.49	$71.88	$172.48
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $47.98 / $91.22 / $117.98	Facility	26	$47.98	$91.22	$117.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $94.00 / $94.00	Professional		$94.00	$94.00	$94.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $88.23 / $218.00	Professional		$25.49	$88.23	$218.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.94 / $124.91 / $269.18	Professional		$75.94	$124.91	$269.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.47 / $42.44 / $95.12	Professional	26	$25.47	$42.44	$95.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $84.12 / $181.16	Professional	TC	$47.86	$84.12	$181.16
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $271.50 / $271.50 / $271.50	Facility	26	$271.50	$271.50	$271.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,070.24 / $1,070.24 / $1,246.43	Professional		$1,070.24	$1,070.24	$1,246.43
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $392.28 / $392.28 / $392.28	Professional	26	$392.28	$392.28	$392.28
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $793.60 / $793.60 / $918.90	Professional	TC	$793.60	$793.60	$918.90