Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.71 / $116.67 / $174.04	Facility	26	$107.71	$116.67	$174.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $342.31 / $411.52 / $627.20	Professional	TC	$342.31	$411.52	$627.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $379.04 / $547.05 / $1,163.17	Professional	TC	$379.04	$547.05	$1,163.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $132.76 / $132.76 / $132.76	Facility	26	$132.76	$132.76	$132.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $386.96 / $587.82 / $1,034.45	Professional	TC	$386.96	$587.82	$1,034.45
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $135.34 / $206.48 / $309.63	Facility	26	$135.34	$206.48	$309.63
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $386.96 / $386.96 / $386.96	Professional	TC	$386.96	$386.96	$386.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $344.63 / $465.26 / $904.33	Professional	TC	$344.63	$465.26	$904.33
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $214.14 / $578.12 / $578.12	Facility	26	$214.14	$578.12	$578.12
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $2,779.03 / $3,700.20 / $3,700.20	Professional	TC	$2,779.03	$3,700.20	$3,700.20