Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.27 / $56.80 / $153.88	Facility	26	$17.27	$56.80	$153.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.46 / $121.49 / $561.16	Professional		$93.46	$121.49	$561.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $33.52 / $67.05	Professional	26	$16.60	$33.52	$67.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $76.81 / $76.81 / $176.48	Professional	TC	$76.81	$76.81	$176.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.16 / $76.16 / $76.16	Professional		$76.16	$76.16	$76.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.48 / $31.18 / $39.57	Professional	26	$17.48	$31.18	$39.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.11 / $180.75 / $185.28	Professional		$169.11	$180.75	$185.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.01 / $32.82 / $34.46	Professional	26	$31.01	$32.82	$34.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $138.40 / $147.94 / $151.63	Professional	TC	$138.40	$147.94	$151.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.84 / $96.84 / $96.84	Facility	26	$96.84	$96.84	$96.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.01 / $207.09 / $284.10	Professional		$97.01	$207.09	$284.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.80 / $38.90 / $50.31	Professional	26	$21.80	$38.90	$50.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $78.61 / $168.65 / $234.65	Professional	TC	$78.61	$168.65	$234.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $81.76 / $81.76 / $81.76	Facility	26	$81.76	$81.76	$81.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.09 / $179.25 / $664.33	Professional		$107.09	$179.25	$664.33
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.54 / $34.97 / $113.72	Professional	26	$21.54	$34.97	$113.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $85.55 / $139.02 / $550.61	Professional	TC	$85.55	$139.02	$550.61
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $58.58 / $60.28 / $96.84	Facility	26	$58.58	$60.28	$96.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $200.18 / $261.19	Professional		$140.00	$200.18	$261.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $87.07 / $176.13	Professional		$19.38	$87.07	$176.13
United Facility/Professional Professional Modifier Low / Median / High Price $107.09 / $175.75 / $218.91	Professional		$107.09	$175.75	$218.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.54 / $34.59 / $44.04	Professional	26	$21.54	$34.59	$44.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $85.55 / $139.02 / $174.87	Professional	TC	$85.55	$139.02	$174.87