Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.93 / $44.70 / $66.48	Facility	26	$40.93	$44.70	$66.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.89 / $348.04 / $565.78	Professional		$292.89	$348.04	$565.78
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $151.68 / $174.02 / $213.77	Professional	52	$151.68	$174.02	$213.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $252.77 / $303.33 / $486.85	Professional	TC	$252.77	$303.33	$486.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $277.95 / $397.07 / $898.36	Professional	TC	$277.95	$397.07	$898.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.88 / $50.88 / $50.88	Facility	26	$50.88	$50.88	$50.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.60 / $459.10 / $878.19	Professional		$117.60	$459.10	$878.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $285.38 / $436.33 / $765.16	Professional	TC	$285.38	$436.33	$765.16
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $51.85 / $79.56 / $118.96	Facility	26	$51.85	$79.56	$118.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $370.00 / $454.00	Professional		$59.00	$370.00	$454.00
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $280.27 / $280.27 / $280.27	Professional	TC	$280.27	$280.27	$280.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $373.66 / $655.02	Professional		$64.12	$373.66	$655.02
United Facility/Professional Professional Modifier Low / Median / High Price $290.35 / $392.23 / $803.24	Professional		$290.35	$392.23	$803.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $249.61 / $354.93 / $688.48	Professional	TC	$249.61	$354.93	$688.48
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $81.94 / $220.83 / $220.83	Facility	26	$81.94	$220.83	$220.83
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,332.00 / $3,148.13 / $3,148.13	Professional		$2,332.00	$3,148.13	$3,148.13
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $2,048.28 / $2,788.20 / $2,788.20	Professional	TC	$2,048.28	$2,788.20	$2,788.20