Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.76 / $24.88 / $43.53	Facility	26	$24.76	$24.88	$43.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.07 / $101.59 / $530.00	Professional		$86.07	$101.59	$530.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.72 / $38.40 / $111.20	Professional	26	$23.72	$38.40	$111.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.40 / $74.95 / $174.73	Professional	TC	$61.40	$74.95	$174.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $191.20 / $191.20 / $191.20	Professional		$191.20	$191.20	$191.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.21 / $49.10 / $57.80	Professional	26	$19.21	$49.10	$57.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.63 / $194.78 / $201.68	Professional		$176.63	$194.78	$201.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.21 / $48.82 / $50.03	Professional	26	$45.21	$48.82	$50.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $132.81 / $146.46 / $151.63	Professional	TC	$132.81	$146.46	$151.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.06 / $144.06 / $144.06	Facility	26	$144.06	$144.06	$144.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $228.70 / $313.19	Professional		$86.25	$228.70	$313.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.73 / $57.12 / $72.72	Professional	26	$23.73	$57.12	$72.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.83 / $172.92 / $240.47	Professional	TC	$63.83	$172.92	$240.47
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $116.58 / $116.58 / $116.58	Facility	26	$116.58	$116.58	$116.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.85 / $169.92 / $265.50	Professional		$115.85	$169.92	$265.50
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $32.04 / $50.55 / $80.80	Professional	26	$32.04	$50.55	$80.80
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $87.55 / $111.29 / $198.72	Professional	TC	$87.55	$111.29	$198.72
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $103.85 / $106.88 / $144.06	Facility	26	$103.85	$106.88	$144.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $180.79 / $227.72 / $293.26	Professional		$180.79	$227.72	$293.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $292.30 / $292.30 / $292.30	Professional		$292.30	$292.30	$292.30
United Facility/Professional Professional Modifier Low / Median / High Price $115.85 / $176.83 / $258.17	Professional		$115.85	$176.83	$258.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.04 / $52.08 / $64.93	Professional	26	$32.04	$52.08	$64.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.67 / $135.87 / $193.24	Professional	TC	$72.67	$135.87	$193.24