Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.11 / $192.90 / $325.14	Facility	26	$36.11	$192.90	$325.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.47 / $83.73 / $400.67	Professional		$71.47	$83.73	$400.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.54 / $90.40 / $212.00	Professional	26	$34.54	$90.40	$212.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.36 / $36.97 / $187.04	Professional	TC	$35.36	$36.97	$187.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $174.29 / $174.29 / $174.29	Professional		$174.29	$174.29	$174.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.34 / $84.18 / $84.18	Professional	26	$66.34	$84.18	$84.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.06 / $142.94 / $147.97	Professional		$135.06	$142.94	$147.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.14 / $70.70 / $74.75	Professional	26	$66.14	$70.70	$74.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $66.12 / $72.92 / $75.50	Professional	TC	$66.12	$72.92	$75.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $208.62 / $208.62 / $208.62	Facility	26	$208.62	$208.62	$208.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $160.13 / $230.77	Professional		$74.93	$160.13	$230.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.63 / $82.92 / $106.66	Professional	26	$43.63	$82.92	$106.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.29 / $76.97 / $124.11	Professional	TC	$34.29	$76.97	$124.11
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $169.56 / $169.56 / $169.56	Facility	26	$169.56	$169.56	$169.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.17 / $149.19 / $1,002.61	Professional		$88.17	$149.19	$1,002.61
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $45.83 / $75.83 / $238.39	Professional	26	$45.83	$75.83	$238.39
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $38.09 / $67.81 / $780.59	Professional	TC	$38.09	$67.81	$780.59
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $121.52 / $125.06 / $208.62	Facility	26	$121.52	$125.06	$208.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.43 / $163.63 / $207.89	Professional		$138.43	$163.63	$207.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $67.78 / $135.18	Professional		$37.47	$67.78	$135.18
United Facility/Professional Professional Modifier Low / Median / High Price $88.17 / $146.52 / $169.55	Professional		$88.17	$146.52	$169.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.83 / $75.11 / $96.30	Professional	26	$45.83	$75.11	$96.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.15 / $67.67 / $77.97	Professional	TC	$35.15	$67.67	$77.97