Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.91 / $26.87 / $26.87	Facility	26	$20.91	$26.87	$26.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $88.17 / $235.96	Professional		$73.84	$88.17	$235.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.55 / $25.26 / $51.69	Professional	26	$21.55	$25.26	$51.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.16 / $62.91 / $184.26	Professional	TC	$51.16	$62.91	$184.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.12 / $44.24 / $49.98	Professional	26	$28.12	$44.24	$49.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.95 / $82.53 / $121.00	Professional	TC	$61.95	$82.53	$121.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $60.11 / $174.98	Professional		$36.10	$60.11	$174.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.91 / $16.60 / $50.01	Professional	26	$12.91	$16.60	$50.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.19 / $44.34 / $124.07	Professional	TC	$23.19	$44.34	$124.07
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $36.81 / $36.81 / $40.59	Facility	26	$36.81	$36.81	$40.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $24.70 / $24.70	Professional		$24.70	$24.70	$24.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.37 / $77.30 / $214.94	Professional		$20.37	$77.30	$214.94
United Facility/Professional Professional Modifier Low / Median / High Price $44.18 / $74.84 / $163.19	Professional		$44.18	$74.84	$163.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.55 / $24.57 / $50.88	Professional	26	$15.55	$24.57	$50.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.90 / $53.21 / $115.71	Professional	TC	$28.90	$53.21	$115.71
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $164.49 / $164.49 / $164.49	Facility	26	$164.49	$164.49	$164.49
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $730.19 / $730.19 / $1,094.09	Professional		$730.19	$730.19	$1,094.09
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $199.12 / $199.12 / $264.08	Professional	26	$199.12	$199.12	$264.08
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $531.07 / $531.07 / $830.03	Professional	TC	$531.07	$531.07	$830.03