Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.16 / $27.16 / $27.34	Facility	26	$27.16	$27.16	$27.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.49 / $106.50 / $623.00	Professional		$97.49	$106.50	$623.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.36 / $27.69 / $129.96	Professional	26	$26.36	$27.69	$129.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.31 / $71.95 / $104.24	Professional	TC	$70.31	$71.95	$104.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $195.86 / $195.86 / $230.55	Professional		$195.86	$195.86	$230.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.66 / $190.78 / $197.53	Professional		$176.66	$190.78	$197.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.88 / $52.78 / $54.64	Professional	26	$48.88	$52.78	$54.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $127.78 / $138.00 / $142.88	Professional	TC	$127.78	$138.00	$142.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $157.32 / $157.32 / $157.32	Facility	26	$157.32	$157.32	$157.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.24 / $225.59 / $310.27	Professional		$83.24	$225.59	$310.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.88 / $62.36 / $81.45	Professional	26	$25.88	$62.36	$81.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.64 / $165.09 / $228.83	Professional	TC	$64.64	$165.09	$228.83
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $128.65 / $128.65 / $128.65	Facility	26	$128.65	$128.65	$128.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $180.15 / $287.95	Professional		$120.90	$180.15	$287.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $34.57 / $52.02 / $83.15	Professional	26	$34.57	$52.02	$83.15
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $86.33 / $128.13 / $204.81	Professional	TC	$86.33	$128.13	$204.81
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $86.49 / $89.01 / $157.32	Facility	26	$86.49	$89.01	$157.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $195.25 / $239.60 / $358.89	Professional		$195.25	$239.60	$358.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.69 / $144.69 / $284.39	Professional		$144.69	$144.69	$284.39
United Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $196.46 / $244.92	Professional		$120.90	$196.46	$244.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.57 / $54.97 / $70.04	Professional	26	$34.57	$54.97	$70.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.33 / $138.63 / $174.88	Professional	TC	$86.33	$138.63	$174.88