Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.49 / $117.17 / $166.08	Professional		$94.49	$117.17	$166.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.61 / $14.82 / $18.48	Professional	26	$13.61	$14.82	$18.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.23 / $102.72 / $125.25	Professional	TC	$84.23	$102.72	$125.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $16.17 / $16.17	Professional		$16.17	$16.17	$16.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.79 / $16.55 / $37.06	Professional	26	$13.79	$16.55	$37.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.65 / $114.09 / $209.66	Professional	TC	$63.65	$114.09	$209.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.85 / $16.85 / $16.85	Facility	26	$16.85	$16.85	$16.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.41 / $137.35 / $261.72	Professional		$86.41	$137.35	$261.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.06 / $21.43 / $37.61	Professional	26	$13.06	$21.43	$37.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.87 / $120.31 / $227.96	Professional	TC	$71.87	$120.31	$227.96
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $15.48 / $20.00 / $20.00	Facility	26	$15.48	$20.00	$20.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $108.00 / $126.00	Professional		$18.00	$108.00	$126.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $148.53 / $207.06	Professional		$18.94	$148.53	$207.06
United Facility/Professional Professional Modifier Low / Median / High Price $73.89 / $96.63 / $188.10	Professional		$73.89	$96.63	$188.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.40 / $14.09 / $28.82	Professional	26	$10.40	$14.09	$28.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.15 / $81.47 / $159.52	Professional	TC	$62.15	$81.47	$159.52
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $34.29 / $100.00 / $100.00	Facility	26	$34.29	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $800.25 / $800.25 / $1,116.59	Professional		$800.25	$800.25	$1,116.59
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $135.38 / $135.38 / $135.38	Professional	26	$135.38	$135.38	$135.38
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $706.26 / $706.26 / $998.10	Professional	TC	$706.26	$706.26	$998.10