Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.55 / $33.21 / $48.54	Facility	26	$25.55	$33.21	$48.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.90 / $95.00 / $212.00	Professional		$43.90	$95.00	$212.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.55 / $59.58 / $131.33	Professional	26	$25.55	$59.58	$131.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.57 / $76.58 / $88.08	Professional		$59.57	$76.58	$88.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.97 / $42.64 / $51.03	Professional	26	$36.97	$42.64	$51.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.57 / $72.56 / $96.75	Professional		$42.57	$72.56	$96.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.67 / $42.04 / $56.07	Professional	26	$24.67	$42.04	$56.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.72 / $110.26 / $139.50	Professional		$88.72	$110.26	$139.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.40 / $63.87 / $87.60	Professional	26	$51.40	$63.87	$87.60
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $108.30 / $131.69 / $131.69	Facility	26	$108.30	$131.69	$131.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.74 / $106.65 / $358.08	Professional		$52.74	$106.65	$358.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $32.15 / $61.52 / $210.00	Professional	26	$32.15	$61.52	$210.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $71.44 / $106.65 / $139.50	Professional		$71.44	$106.65	$139.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.30 / $88.50 / $124.10	Professional		$52.30	$88.50	$124.10
United Facility/Professional Professional Modifier Low / Median / High Price $54.94 / $102.42 / $113.39	Professional		$54.94	$102.42	$113.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.51 / $62.43 / $77.87	Professional	26	$37.51	$62.43	$77.87