Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.65 / $86.93 / $235.24	Facility	26	$26.65	$86.93	$235.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $122.09 / $714.43	Professional		$90.73	$122.09	$714.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.26 / $26.40 / $71.86	Professional	26	$24.26	$26.40	$71.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.45 / $95.69 / $548.49	Professional	TC	$66.45	$95.69	$548.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.84 / $49.30 / $49.30	Professional	26	$26.84	$49.30	$49.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.05 / $236.80 / $242.72	Professional		$217.05	$236.80	$242.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.85 / $52.21 / $54.57	Professional	26	$48.85	$52.21	$54.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $165.71 / $184.58 / $189.19	Professional	TC	$165.71	$184.58	$189.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $154.13 / $154.13 / $154.13	Facility	26	$154.13	$154.13	$154.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.45 / $266.16 / $366.52	Professional		$124.45	$266.16	$366.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.74 / $60.75 / $78.54	Professional	26	$32.74	$60.75	$78.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $92.50 / $207.09 / $287.98	Professional	TC	$92.50	$207.09	$287.98
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $125.66 / $125.66 / $125.66	Facility	26	$125.66	$125.66	$125.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $133.97 / $222.77 / $873.78	Professional		$133.97	$222.77	$873.78
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.83 / $54.97 / $198.13	Professional	26	$33.83	$54.97	$198.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $97.39 / $167.80 / $695.99	Professional	TC	$97.39	$167.80	$695.99
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $88.83 / $91.41 / $154.13	Facility	26	$88.83	$91.41	$154.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $249.64 / $332.68	Professional		$180.00	$249.64	$332.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $112.63 / $221.88	Professional		$29.00	$112.63	$221.88
United Facility/Professional Professional Modifier Low / Median / High Price $137.09 / $222.77 / $280.23	Professional		$137.09	$222.77	$280.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.70 / $53.96 / $69.15	Professional	26	$32.70	$53.96	$69.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.91 / $165.82 / $211.08	Professional	TC	$80.91	$165.82	$211.08