Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.54 / $14.54 / $25.69	Facility	26	$14.54	$14.54	$25.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $45.98 / $66.05	Professional		$44.59	$45.98	$66.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.12 / $14.54 / $17.45	Professional	26	$13.12	$14.54	$17.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.07 / $31.59 / $48.60	Professional	TC	$30.07	$31.59	$48.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Professional		$80.00	$80.00	$80.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.94 / $24.29 / $48.64	Professional	26	$12.94	$24.29	$48.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.78 / $52.04 / $114.24	Professional	TC	$24.78	$52.04	$114.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.25 / $16.25 / $16.25	Facility	26	$16.25	$16.25	$16.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.93 / $79.62 / $132.41	Professional		$53.93	$79.62	$132.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.67 / $24.85 / $41.00	Professional	26	$16.67	$24.85	$41.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.02 / $55.01 / $93.02	Professional	TC	$37.02	$55.01	$93.02
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $17.37 / $19.61 / $31.06	Facility	26	$17.37	$19.61	$31.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $56.00 / $77.00	Professional		$21.00	$56.00	$77.00
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $38.81 / $38.81 / $38.81	Professional	TC	$38.81	$38.81	$38.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $45.44 / $69.70	Professional		$21.28	$45.44	$69.70
United Facility/Professional Professional Modifier Low / Median / High Price $43.21 / $59.19 / $117.65	Professional		$43.21	$59.19	$117.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.52 / $18.10 / $36.61	Professional	26	$13.52	$18.10	$36.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.38 / $42.18 / $75.31	Professional	TC	$31.38	$42.18	$75.31
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $32.90 / $70.00 / $80.00	Facility	26	$32.90	$70.00	$80.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $541.00 / $541.00 / $541.00	Professional		$541.00	$541.00	$541.00
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $91.83 / $91.83 / $109.58	Professional	26	$91.83	$91.83	$109.58
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $223.65 / $223.65 / $235.95	Professional	TC	$223.65	$223.65	$235.95