Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.34 / $20.00 / $20.00	Facility	26	$17.34	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.64 / $53.28 / $68.48	Professional		$48.64	$53.28	$68.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.37 / $20.14 / $27.14	Professional	26	$17.37	$20.14	$27.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.26 / $33.14 / $41.35	Professional	TC	$31.26	$33.14	$41.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.93 / $37.19 / $40.08	Professional	26	$20.93	$37.19	$40.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.16 / $37.32 / $70.29	Professional	TC	$31.16	$37.32	$70.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $36.04 / $108.99	Professional		$29.58	$36.04	$108.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.84 / $13.67 / $39.18	Professional	26	$10.84	$13.67	$39.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.53 / $22.31 / $68.84	Professional	TC	$18.53	$22.31	$68.84
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $30.78 / $30.96 / $38.18	Facility	26	$30.78	$30.96	$38.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.27 / $20.27 / $20.27	Professional		$20.27	$20.27	$20.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $39.20 / $146.04	Professional		$15.21	$39.20	$146.04
United Facility/Professional Professional Modifier Low / Median / High Price $36.21 / $57.44 / $112.61	Professional		$36.21	$57.44	$112.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.07 / $20.66 / $40.70	Professional	26	$13.07	$20.66	$40.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.36 / $36.70 / $73.97	Professional	TC	$23.36	$36.70	$73.97
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $120.37 / $120.37 / $120.37	Facility	26	$120.37	$120.37	$120.37
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $438.19 / $438.19 / $544.20	Professional		$438.19	$438.19	$544.20
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $158.25 / $158.25 / $192.30	Professional	26	$158.25	$158.25	$192.30
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $279.94 / $279.94 / $351.98	Professional	TC	$279.94	$279.94	$351.98