Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.30 / $36.74 / $59.80	Facility	26	$19.30	$36.74	$59.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $162.34 / $226.48	Professional		$78.54	$162.34	$226.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.16 / $30.00 / $45.95	Professional	26	$18.16	$30.00	$45.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.25 / $71.42 / $147.28	Professional	TC	$53.25	$71.42	$147.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.96 / $213.96 / $213.96	Professional		$213.96	$213.96	$213.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.25 / $181.34 / $185.87	Professional		$168.25	$181.34	$185.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.04 / $37.46 / $39.10	Professional	26	$35.04	$37.46	$39.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $129.16 / $143.88 / $147.47	Professional	TC	$129.16	$143.88	$147.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.58 / $110.58 / $110.58	Facility	26	$110.58	$110.58	$110.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.99 / $209.92 / $288.95	Professional		$93.99	$209.92	$288.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.33 / $44.40 / $57.21	Professional	26	$23.33	$44.40	$57.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.72 / $165.94 / $231.74	Professional	TC	$74.72	$165.94	$231.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $90.84 / $90.84 / $90.84	Facility	26	$90.84	$90.84	$90.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.85 / $168.89 / $637.19	Professional		$96.85	$168.89	$637.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.30 / $39.49 / $127.82	Professional	26	$24.30	$39.49	$127.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $71.48 / $129.40 / $509.36	Professional	TC	$71.48	$129.40	$509.36
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $79.20 / $81.50 / $110.58	Facility	26	$79.20	$81.50	$110.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.05 / $198.07 / $259.56	Professional		$154.05	$198.07	$259.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $91.99 / $161.72	Professional		$20.47	$91.99	$161.72
United Facility/Professional Professional Modifier Low / Median / High Price $103.93 / $168.89 / $212.45	Professional		$103.93	$168.89	$212.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.30 / $38.59 / $49.67	Professional	26	$24.30	$38.59	$49.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.63 / $129.40 / $162.78	Professional	TC	$79.63	$129.40	$162.78