Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.99 / $51.41 / $67.84	Professional		$40.99	$51.41	$67.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.93 / $8.74 / $11.67	Professional	26	$6.93	$8.74	$11.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.97 / $42.67 / $56.17	Professional	TC	$33.97	$42.67	$56.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $20.02 / $20.02	Professional		$19.50	$20.02	$20.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $10.06 / $20.75	Professional	26	$8.11	$10.06	$20.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.88 / $40.95 / $95.87	Professional	TC	$16.88	$40.95	$95.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.67 / $9.67 / $9.67	Facility	26	$9.67	$9.67	$9.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.67 / $53.07 / $129.10	Professional		$31.67	$53.07	$129.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $10.05 / $21.97	Professional	26	$6.74	$10.05	$21.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.50 / $44.57 / $104.98	Professional	TC	$27.50	$44.57	$104.98
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $9.00 / $9.00 / $9.38	Facility	26	$9.00	$9.00	$9.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $57.00 / $69.00	Professional		$12.00	$57.00	$69.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $60.20 / $83.46	Professional		$10.89	$60.20	$83.46
United Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $43.02 / $57.91	Professional		$23.10	$43.02	$57.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.51 / $7.97 / $12.60	Professional	26	$4.51	$7.97	$12.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.36 / $35.51 / $47.49	Professional	TC	$21.36	$35.51	$47.49
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $59.20 / $59.20 / $59.20	Facility	26	$59.20	$59.20	$59.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $343.33 / $343.33 / $459.30	Professional		$343.33	$343.33	$459.30
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $166.76 / $166.76 / $166.76	Professional	26	$166.76	$166.76	$166.76
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $288.04 / $288.04 / $388.73	Professional	TC	$288.04	$288.04	$388.73