Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $27.54 / $47.86	Facility	26	$25.12	$27.54	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $147.91	Professional		$70.79	$89.13	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $27.54 / $120.23	Professional	26	$20.89	$27.54	$120.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $64.57 / $109.65	Professional	TC	$47.86	$64.57	$109.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $44.67 / $50.12	Professional	26	$28.18	$44.67	$50.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $83.18 / $138.04	Professional	TC	$61.66	$83.18	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $87.10 / $169.82	Professional		$36.31	$87.10	$169.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $23.44 / $50.12	Professional	26	$12.88	$23.44	$50.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $53.70 / $123.03	Professional	TC	$23.44	$53.70	$123.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $87.10 / $125.89	Professional		$30.90	$87.10	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $74.13 / $186.21	Professional		$44.67	$74.13	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $24.55 / $54.95	Professional	26	$15.49	$24.55	$54.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $53.70 / $123.03	Professional	TC	$28.84	$53.70	$123.03
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $1,096.48	Professional		$724.44	$724.44	$1,096.48
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $199.53 / $199.53 / $263.03	Professional	26	$199.53	$199.53	$263.03
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $537.03 / $537.03 / $831.76	Professional	TC	$537.03	$537.03	$831.76