Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.75 / $34.75 / $40.54	Professional		$34.75	$34.75	$40.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.23 / $22.23 / $87.73	Professional	26	$22.23	$22.23	$87.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.52 / $12.52 / $12.52	Professional	TC	$12.52	$12.52	$12.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.10 / $51.54 / $78.48	Professional	26	$16.10	$51.54	$78.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.71 / $81.75 / $86.04	Professional		$57.71	$81.75	$86.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.11 / $51.17 / $53.85	Professional	26	$36.11	$51.17	$53.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.60 / $30.60 / $32.21	Professional	TC	$21.60	$30.60	$32.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $99.13 / $127.35	Professional		$86.00	$99.13	$127.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $66.47 / $78.90	Professional	26	$55.00	$66.47	$78.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.00 / $38.43 / $48.45	Professional	TC	$31.00	$38.43	$48.45
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $155.94 / $155.94 / $155.94	Facility	26	$155.94	$155.94	$155.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $53.69 / $473.28	Professional		$47.67	$53.69	$473.28
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.68 / $50.39 / $346.00	Professional	26	$33.68	$50.39	$346.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.35 / $19.43 / $330.22	Professional	TC	$16.35	$19.43	$330.22
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $89.86 / $89.86 / $89.86	Facility	26	$89.86	$89.86	$89.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $73.03 / $98.41 / $127.35	Professional		$73.03	$98.41	$127.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $52.12 / $95.85	Professional		$22.51	$52.12	$95.85
United Facility/Professional Professional Modifier Low / Median / High Price $32.18 / $53.64 / $102.64	Professional		$32.18	$53.64	$102.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.24 / $36.15 / $67.56	Professional	26	$28.24	$36.15	$67.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.35 / $18.02 / $35.08	Professional	TC	$16.35	$18.02	$35.08