Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.20 / $81.25 / $219.98	Facility	26	$24.20	$81.25	$219.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.14 / $146.18 / $524.00	Professional		$92.14	$146.18	$524.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.20 / $56.14 / $127.00	Professional	26	$24.20	$56.14	$127.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.92 / $94.46 / $602.78	Professional	TC	$59.92	$94.46	$602.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $265.35 / $265.35 / $265.35	Professional		$265.35	$265.35	$265.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.32 / $42.68 / $56.21	Professional	26	$24.32	$42.68	$56.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.81 / $229.62 / $237.31	Professional		$214.81	$229.62	$237.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.43 / $47.50 / $50.09	Professional	26	$44.43	$47.50	$50.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $170.38 / $182.12 / $188.91	Professional	TC	$170.38	$182.12	$188.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $140.16 / $140.16 / $140.16	Facility	26	$140.16	$140.16	$140.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.41 / $271.00 / $357.79	Professional		$130.41	$271.00	$357.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.34 / $55.54 / $70.78	Professional	26	$29.34	$55.54	$70.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $94.24 / $214.55 / $287.01	Professional	TC	$94.24	$214.55	$287.01
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $113.54 / $113.54 / $113.54	Facility	26	$113.54	$113.54	$113.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $234.92 / $841.81	Professional		$116.00	$234.92	$841.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $31.07 / $50.49 / $205.77	Professional	26	$31.07	$50.49	$205.77
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $84.65 / $173.89 / $680.78	Professional	TC	$84.65	$173.89	$680.78
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $81.64 / $84.02 / $140.16	Facility	26	$81.64	$84.02	$140.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $139.00 / $259.73 / $325.68	Professional		$139.00	$259.73	$325.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.51 / $110.91 / $200.21	Professional		$25.51	$110.91	$200.21
United Facility/Professional Professional Modifier Low / Median / High Price $125.44 / $234.92 / $295.51	Professional		$125.44	$234.92	$295.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.07 / $49.89 / $63.51	Professional	26	$31.07	$49.89	$63.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $104.30 / $182.26 / $232.00	Professional	TC	$104.30	$182.26	$232.00