Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.19 / $136.59 / $230.24	Facility	26	$23.19	$136.59	$230.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.94 / $36.24 / $266.00	Professional		$35.94	$36.24	$266.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.86 / $50.60 / $132.00	Professional	26	$22.86	$50.60	$132.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.09 / $68.39 / $283.83	Professional	TC	$13.09	$68.39	$283.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $54.02 / $54.02 / $54.02	Professional	26	$54.02	$54.02	$54.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $73.29 / $75.12	Professional		$68.56	$73.29	$75.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.10 / $45.02 / $46.14	Professional	26	$42.10	$45.02	$46.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.44 / $28.00 / $28.98	Professional	TC	$26.44	$28.00	$28.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $132.84 / $132.84 / $132.84	Facility	26	$132.84	$132.84	$132.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.26 / $95.41 / $123.00	Professional		$74.26	$95.41	$123.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.00 / $55.60 / $69.81	Professional	26	$45.00	$55.60	$69.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.65 / $39.56 / $73.11	Professional	TC	$28.65	$39.56	$73.11
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $120.92 / $120.92 / $120.92	Facility	26	$120.92	$120.92	$120.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.65 / $87.26 / $441.00	Professional		$62.65	$87.26	$441.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $31.90 / $48.01 / $338.48	Professional	26	$31.90	$48.01	$338.48
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.73 / $52.07 / $338.48	Professional	TC	$27.73	$52.07	$338.48
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $87.41 / $89.95 / $132.84	Facility	26	$87.41	$89.95	$132.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $75.16 / $118.39 / $159.16	Professional		$75.16	$118.39	$159.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $31.70 / $75.68	Professional		$18.18	$31.70	$75.68
United Facility/Professional Professional Modifier Low / Median / High Price $58.18 / $87.26 / $133.84	Professional		$58.18	$87.26	$133.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.49 / $45.61 / $58.33	Professional	26	$30.49	$45.61	$58.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.09 / $41.77 / $85.30	Professional	TC	$26.09	$41.77	$85.30