Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.19 / $21.19 / $35.86	Facility	26	$21.19	$21.19	$35.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.83 / $48.50 / $134.22	Professional		$36.83	$48.50	$134.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.96 / $21.52 / $36.82	Professional	26	$19.96	$21.52	$36.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.13 / $16.67 / $89.11	Professional	TC	$16.13	$16.67	$89.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.50 / $56.98 / $56.98	Professional		$55.50	$56.98	$56.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.73 / $56.48 / $80.03	Professional	26	$19.73	$56.48	$80.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.79 / $50.78 / $171.26	Professional	TC	$15.79	$50.78	$171.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.05 / $24.05 / $24.05	Facility	26	$24.05	$24.05	$24.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $95.45 / $245.08	Professional		$40.50	$95.45	$245.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.26 / $42.11 / $78.23	Professional	26	$21.26	$42.11	$78.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.14 / $41.95 / $174.71	Professional	TC	$17.14	$41.95	$174.71
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $32.51 / $35.00 / $56.33	Facility	26	$32.51	$35.00	$56.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $28.00 / $50.00	Professional		$20.00	$28.00	$50.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $35.00 / $36.25 / $77.98	Professional	26	$35.00	$36.25	$77.98
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $170.42 / $184.50 / $208.93	Professional	50	$170.42	$184.50	$208.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.70 / $37.79 / $114.90	Professional		$26.70	$37.79	$114.90
United Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $58.79 / $108.96	Professional		$37.72	$58.79	$108.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.80 / $25.20 / $55.66	Professional	26	$17.80	$25.20	$55.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.72 / $24.55 / $53.38	Professional	TC	$15.72	$24.55	$53.38
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $201.45 / $201.45	Facility	26	$100.00	$201.45	$201.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $787.87 / $787.87 / $787.87	Professional		$787.87	$787.87	$787.87
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $203.00 / $382.94 / $382.94	Professional	26	$203.00	$382.94	$382.94
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $603.44 / $603.44 / $603.44	Professional	TC	$603.44	$603.44	$603.44