Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.76 / $106.33 / $287.52	Facility	26	$36.76	$106.33	$287.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.79 / $214.31 / $672.00	Professional		$108.79	$214.31	$672.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.36 / $73.98 / $167.00	Professional	26	$34.36	$73.98	$167.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.14 / $80.22 / $467.03	Professional	TC	$71.14	$80.22	$467.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.94 / $50.64 / $72.80	Professional	26	$36.94	$50.64	$72.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.40 / $227.03 / $233.96	Professional		$212.40	$227.03	$233.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.15 / $71.78 / $73.56	Professional	26	$67.15	$71.78	$73.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $145.25 / $155.25 / $160.44	Professional	TC	$145.25	$155.25	$160.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $211.80 / $211.80 / $211.80	Facility	26	$211.80	$211.80	$211.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.52 / $269.45 / $353.91	Professional		$137.52	$269.45	$353.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.03 / $81.14 / $108.60	Professional	26	$44.03	$81.14	$108.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $94.74 / $183.40 / $245.32	Professional	TC	$94.74	$183.40	$245.32
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $172.60 / $172.60 / $172.60	Facility	26	$172.60	$172.60	$172.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.96 / $219.32 / $812.81	Professional		$134.96	$219.32	$812.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $46.31 / $76.45 / $240.49	Professional	26	$46.31	$76.45	$240.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $87.91 / $142.86 / $572.32	Professional	TC	$87.91	$142.86	$572.32
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $106.94 / $110.06 / $211.80	Facility	26	$106.94	$110.06	$211.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $240.12 / $314.08	Professional		$163.00	$240.12	$314.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.27 / $112.90 / $201.53	Professional		$38.27	$112.90	$201.53
United Facility/Professional Professional Modifier Low / Median / High Price $118.59 / $216.73 / $275.89	Professional		$118.59	$216.73	$275.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.88 / $73.34 / $96.18	Professional	26	$41.88	$73.34	$96.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $76.70 / $141.16 / $179.71	Professional	TC	$76.70	$141.16	$179.71