Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.87 / $154.99 / $261.25	Facility	26	$31.87	$154.99	$261.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.69 / $451.77 / $2,625.00	Professional		$61.69	$451.77	$2,625.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.28 / $217.19 / $820.00	Professional	26	$31.28	$217.19	$820.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.41 / $30.41 / $1,923.59	Professional	TC	$30.41	$30.41	$1,923.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.74 / $148.12 / $148.12	Professional		$121.74	$148.12	$148.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.65 / $62.99 / $74.15	Professional	26	$31.65	$62.99	$74.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.77 / $122.68 / $125.75	Professional		$114.77	$122.68	$125.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.46 / $61.42 / $62.96	Professional	26	$57.46	$61.42	$62.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.31 / $61.25 / $62.78	Professional	TC	$57.31	$61.25	$62.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $181.26 / $181.26 / $181.26	Facility	26	$181.26	$181.26	$181.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.28 / $150.53 / $195.86	Professional		$124.28	$150.53	$195.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.23 / $75.93 / $95.02	Professional	26	$62.23	$75.93	$95.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.07 / $75.88 / $100.84	Professional	TC	$62.07	$75.88	$100.84
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $68.88 / $170.00 / $170.00	Facility	26	$68.88	$170.00	$170.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.61 / $125.49 / $468.00	Professional		$79.61	$125.49	$468.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $38.51 / $62.58 / $378.10	Professional	26	$38.51	$62.58	$378.10
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $42.90 / $61.68 / $378.10	Professional	TC	$42.90	$61.68	$378.10
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $101.07 / $104.02 / $181.26	Facility	26	$101.07	$104.02	$181.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $124.28 / $143.75 / $175.76	Professional		$124.28	$143.75	$175.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.60 / $62.08 / $124.01	Professional		$35.60	$62.08	$124.01
United Facility/Professional Professional Modifier Low / Median / High Price $79.61 / $122.91 / $157.58	Professional		$79.61	$122.91	$157.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.51 / $62.58 / $80.23	Professional	26	$38.51	$62.58	$80.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.22 / $60.67 / $77.34	Professional	TC	$40.22	$60.67	$77.34