Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $26.30 / $37.15	Facility	26	$14.13	$26.30	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $47.86 / $87.10	Professional		$42.66	$47.86	$87.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.14 / $26.92	Professional	26	$12.88	$15.14	$26.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $33.11 / $60.26	Professional	TC	$30.20	$33.11	$60.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $18.20 / $50.12	Professional	26	$13.18	$18.20	$50.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $34.67 / $117.49	Professional	TC	$24.55	$34.67	$117.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.39 / $15.85 / $22.39	Facility	26	$3.39	$15.85	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $77.62 / $138.04	Professional		$51.29	$77.62	$138.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $22.91 / $41.69	Professional	26	$15.85	$22.91	$41.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $52.48 / $97.72	Professional	TC	$34.67	$52.48	$97.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $70.79 / $104.71	Professional		$22.39	$70.79	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $57.54 / $97.72	Professional		$43.65	$57.54	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $17.78 / $30.20	Professional	26	$13.18	$17.78	$30.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $40.74 / $69.18	Professional	TC	$30.20	$40.74	$69.18
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $91.20 / $91.20 / $91.20	Facility	26	$91.20	$91.20	$91.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $91.20 / $109.65	Professional	26	$91.20	$91.20	$109.65
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $223.87 / $234.42	Professional	TC	$223.87	$223.87	$234.42