Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.38 / $20.42 / $20.42	Facility	26	$17.38	$20.42	$20.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $54.95 / $87.10	Professional		$47.86	$54.95	$87.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $19.95 / $33.11	Professional	26	$17.38	$19.95	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $34.67 / $54.95	Professional	TC	$30.90	$34.67	$54.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $37.15 / $40.74	Professional	26	$20.89	$37.15	$40.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $37.15 / $70.79	Professional	TC	$30.90	$37.15	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $107.15	Professional		$30.20	$47.86	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $17.38 / $38.90	Professional	26	$10.96	$17.38	$38.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $29.51 / $69.18	Professional	TC	$18.62	$29.51	$69.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $38.90 / $66.07	Professional		$23.44	$38.90	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $57.54 / $120.23	Professional		$36.31	$57.54	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $20.89 / $46.77	Professional	26	$13.18	$20.89	$46.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $36.31 / $75.86	Professional	TC	$23.44	$36.31	$75.86
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $549.54	Professional		$436.52	$436.52	$549.54
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $158.49 / $190.55	Professional	26	$158.49	$158.49	$190.55
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $281.84 / $354.81	Professional	TC	$281.84	$281.84	$354.81