Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.82 / $31.82 / $31.82	Facility	26	$31.82	$31.82	$31.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.89 / $117.76 / $437.00	Professional		$99.89	$117.76	$437.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.82 / $64.00 / $119.00	Professional	26	$31.82	$64.00	$119.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $68.67 / $73.11 / $431.48	Professional	TC	$68.67	$73.11	$431.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $236.33 / $236.33 / $236.33	Professional		$236.33	$236.33	$236.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.11 / $60.90 / $74.19	Professional	26	$34.11	$60.90	$74.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.61 / $202.68 / $207.75	Professional		$189.61	$202.68	$207.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.06 / $62.06 / $63.60	Professional	26	$58.06	$62.06	$63.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $131.56 / $140.62 / $144.13	Professional	TC	$131.56	$140.62	$144.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $183.18 / $183.18 / $183.18	Facility	26	$183.18	$183.18	$183.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.77 / $240.85 / $317.07	Professional		$110.77	$240.85	$317.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.74 / $73.06 / $94.05	Professional	26	$38.74	$73.06	$94.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $80.55 / $161.19 / $223.01	Professional	TC	$80.55	$161.19	$223.01
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $149.85 / $149.85 / $149.85	Facility	26	$149.85	$149.85	$149.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.12 / $198.46 / $730.62	Professional		$122.12	$198.46	$730.62
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.90 / $66.48 / $210.44	Professional	26	$40.90	$66.48	$210.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $81.20 / $131.97 / $520.19	Professional	TC	$81.20	$131.97	$520.19
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $99.36 / $102.26 / $183.18	Facility	26	$99.36	$102.26	$183.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $205.36 / $242.38 / $366.80	Professional		$205.36	$242.38	$366.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $76.44 / $177.48	Professional		$32.78	$76.44	$177.48
United Facility/Professional Professional Modifier Low / Median / High Price $122.12 / $198.46 / $249.64	Professional		$122.12	$198.46	$249.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.90 / $66.48 / $83.62	Professional	26	$40.90	$66.48	$83.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.20 / $136.38 / $166.02	Professional	TC	$81.20	$136.38	$166.02