Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.38 / $96.49 / $261.51	Facility	26	$41.38	$96.49	$261.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.37 / $105.00 / $449.15	Professional		$51.37	$105.00	$449.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.78 / $41.38 / $159.00	Professional	26	$24.78	$41.38	$159.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.99 / $78.92 / $114.43	Professional	TC	$9.99	$78.92	$114.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $51.46 / $51.46	Professional		$51.46	$51.46	$51.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.47 / $58.01 / $73.23	Professional	26	$41.47	$58.01	$73.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.73 / $101.22 / $103.75	Professional		$93.73	$101.22	$103.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.15 / $80.67 / $83.51	Professional	26	$73.15	$80.67	$83.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.28 / $19.73 / $20.23	Professional	TC	$18.28	$19.73	$20.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $240.48 / $240.48 / $240.48	Facility	26	$240.48	$240.48	$240.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $124.71 / $198.99	Professional		$85.00	$124.71	$198.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.82 / $82.56 / $122.17	Professional	26	$30.82	$82.56	$122.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.57 / $24.86 / $125.31	Professional	TC	$18.57	$24.86	$125.31
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $193.75 / $193.75 / $193.75	Facility	26	$193.75	$193.75	$193.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.88 / $137.49 / $317.43	Professional		$87.88	$137.49	$317.43
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $36.97 / $55.18 / $88.20	Professional	26	$36.97	$55.18	$88.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.03 / $82.72 / $229.23	Professional	TC	$22.03	$82.72	$229.23
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $94.00 / $96.74 / $240.48	Facility	26	$94.00	$96.74	$240.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.34 / $176.67 / $236.16	Professional		$104.34	$176.67	$236.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $50.52 / $99.75	Professional		$11.51	$50.52	$99.75
United Facility/Professional Professional Modifier Low / Median / High Price $87.88 / $137.49 / $198.59	Professional		$87.88	$137.49	$198.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.97 / $58.22 / $87.73	Professional	26	$36.97	$58.22	$87.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.17 / $82.72 / $113.62	Professional	TC	$21.17	$82.72	$113.62