Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.32 / $26.32 / $26.32	Facility	26	$26.32	$26.32	$26.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.04 / $144.66 / $197.49	Professional		$127.04	$144.66	$197.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $103.46 / $118.35 / $159.74	Professional	TC	$103.46	$118.35	$159.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.97 / $174.40 / $347.70	Professional	TC	$39.97	$174.40	$347.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.71 / $30.71 / $30.71	Facility	26	$30.71	$30.71	$30.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.33 / $170.10 / $355.89	Professional		$82.33	$170.10	$355.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.46 / $155.44 / $300.51	Professional	TC	$46.46	$155.44	$300.51
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $28.68 / $38.00 / $50.26	Facility	26	$28.68	$38.00	$50.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $138.00 / $207.00	Professional		$35.00	$138.00	$207.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $175.74 / $305.41	Professional		$38.49	$175.74	$305.41
United Facility/Professional Professional Modifier Low / Median / High Price $96.27 / $152.63 / $383.83	Professional		$96.27	$152.63	$383.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.53 / $125.29 / $317.70	Professional	TC	$64.53	$125.29	$317.70
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $76.12 / $132.62 / $132.62	Facility	26	$76.12	$132.62	$132.62
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $964.87 / $964.87 / $1,490.25	Professional		$964.87	$964.87	$1,490.25
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $798.40 / $798.40 / $1,274.84	Professional	TC	$798.40	$798.40	$1,274.84