Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.47 / $115.63 / $313.27	Facility	26	$34.47	$115.63	$313.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.99 / $138.91 / $524.25	Professional		$32.99	$138.91	$524.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.58 / $37.90 / $186.00	Professional	26	$32.58	$37.90	$186.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $104.45 / $104.76 / $691.66	Professional	TC	$104.45	$104.76	$691.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.94 / $36.94 / $80.38	Professional	26	$36.94	$36.94	$80.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.50 / $271.57 / $278.37	Professional		$251.50	$271.57	$278.37
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.31 / $67.28 / $68.95	Professional	26	$62.31	$67.28	$68.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $189.19 / $204.30 / $209.41	Professional	TC	$189.19	$204.30	$209.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $198.54 / $198.54 / $198.54	Facility	26	$198.54	$198.54	$198.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.24 / $320.37 / $429.54	Professional		$130.24	$320.37	$429.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.46 / $79.15 / $101.81	Professional	26	$29.46	$79.15	$101.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.38 / $241.22 / $327.73	Professional	TC	$97.38	$241.22	$327.73
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $161.97 / $161.97 / $161.97	Facility	26	$161.97	$161.97	$161.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.60 / $259.23 / $414.37	Professional		$160.60	$259.23	$414.37
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $44.53 / $66.53 / $106.35	Professional	26	$44.53	$66.53	$106.35
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $114.76 / $192.70 / $308.02	Professional	TC	$114.76	$192.70	$308.02
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $116.79 / $120.19 / $198.54	Facility	26	$116.79	$120.19	$198.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $311.70 / $398.34	Professional		$231.00	$311.70	$398.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $188.50 / $290.70 / $409.20	Professional		$188.50	$290.70	$409.20
United Facility/Professional Professional Modifier Low / Median / High Price $160.60 / $259.23 / $353.88	Professional		$160.60	$259.23	$353.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.53 / $59.38 / $90.21	Professional	26	$44.53	$59.38	$90.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $114.76 / $208.38 / $263.67	Professional	TC	$114.76	$208.38	$263.67