Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.45 / $16.59 / $51.35	Facility	26	$16.45	$16.59	$51.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.64 / $73.92 / $320.00	Professional		$61.64	$73.92	$320.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.61 / $16.59 / $45.44	Professional	26	$15.61	$16.59	$45.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.00 / $57.33 / $111.49	Professional	TC	$46.00	$57.33	$111.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.50 / $16.50 / $16.50	Professional	26	$16.50	$16.50	$16.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.99 / $146.41 / $150.08	Professional		$136.99	$146.41	$150.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.55 / $32.65 / $33.59	Professional	26	$30.55	$32.65	$33.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $104.27 / $113.76 / $116.59	Professional	TC	$104.27	$113.76	$116.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.36 / $96.36 / $96.36	Facility	26	$96.36	$96.36	$96.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.73 / $169.98 / $235.62	Professional		$85.73	$169.98	$235.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.86 / $38.13 / $48.48	Professional	26	$19.86	$38.13	$48.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.84 / $129.81 / $187.14	Professional	TC	$63.84	$129.81	$187.14
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $77.22 / $77.22 / $77.22	Facility	26	$77.22	$77.22	$77.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $142.29 / $507.76	Professional		$80.98	$142.29	$507.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.30 / $34.61 / $109.02	Professional	26	$21.30	$34.61	$109.02
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $59.17 / $107.68 / $398.67	Professional	TC	$59.17	$107.68	$398.67
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $68.26 / $70.25 / $96.36	Facility	26	$68.26	$70.25	$96.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $129.44 / $169.98 / $210.37	Professional		$129.44	$169.98	$210.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $74.52 / $131.18	Professional		$17.76	$74.52	$131.18
United Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $140.61 / $179.00	Professional		$87.56	$140.61	$179.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.30 / $34.20 / $43.55	Professional	26	$21.30	$34.20	$43.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.26 / $107.68 / $135.44	Professional	TC	$66.26	$107.68	$135.44