Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.54 / $59.49 / $86.62	Facility	26	$37.54	$59.49	$86.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.69 / $273.08 / $531.67	Professional		$234.69	$273.08	$531.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.21 / $37.54 / $56.38	Professional	26	$35.21	$37.54	$56.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.35 / $231.15 / $345.49	Professional	TC	$206.35	$231.15	$345.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.51 / $75.67 / $105.45	Professional	26	$49.51	$75.67	$105.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $298.99 / $446.33 / $592.41	Professional	TC	$298.99	$446.33	$592.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.98 / $42.98 / $42.98	Facility	26	$42.98	$42.98	$42.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.06 / $380.51 / $605.08	Professional		$259.06	$380.51	$605.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.09 / $56.88 / $92.60	Professional	26	$39.09	$56.88	$92.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $220.68 / $324.61 / $514.08	Professional	TC	$220.68	$324.61	$514.08
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $45.32 / $46.06 / $83.18	Facility	26	$45.32	$46.06	$83.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $304.80 / $897.52	Professional		$48.00	$304.80	$897.52
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $46.06 / $138.18 / $138.18	Professional	26	$46.06	$138.18	$138.18
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $258.74 / $258.74 / $258.74	Professional	TC	$258.74	$258.74	$258.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $390.74 / $492.49	Professional		$70.70	$390.74	$492.49
United Facility/Professional Professional Modifier Low / Median / High Price $250.56 / $318.88 / $639.63	Professional		$250.56	$318.88	$639.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.95 / $48.03 / $96.56	Professional	26	$36.95	$48.03	$96.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.77 / $279.83 / $543.07	Professional	TC	$213.77	$279.83	$543.07
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $86.46 / $178.55 / $178.55	Facility	26	$86.46	$178.55	$178.55
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,627.28 / $2,088.23 / $2,088.23	Professional		$1,627.28	$2,088.23	$2,088.23
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $234.31 / $315.52 / $315.52	Professional	26	$234.31	$315.52	$315.52
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $1,392.98 / $1,772.70 / $1,772.70	Professional	TC	$1,392.98	$1,772.70	$1,772.70