Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.29 / $72.29 / $72.29	Professional		$72.29	$72.29	$72.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.28 / $81.04 / $210.12	Professional	26	$55.28	$81.04	$210.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.01 / $17.01 / $17.01	Professional	TC	$17.01	$17.01	$17.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.52 / $150.00 / $150.00	Professional	26	$40.52	$150.00	$150.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.73 / $170.99 / $179.99	Professional		$120.73	$170.99	$179.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.06 / $128.99 / $135.78	Professional	26	$91.06	$128.99	$135.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.66 / $42.00 / $44.21	Professional	TC	$29.66	$42.00	$44.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.76 / $218.00 / $264.55	Professional		$192.76	$218.00	$264.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $135.00 / $161.86 / $198.33	Professional	26	$135.00	$161.86	$198.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.56 / $54.63 / $67.89	Professional	TC	$43.56	$54.63	$67.89
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $390.55 / $390.55 / $390.55	Facility	26	$390.55	$390.55	$390.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $131.82 / $745.14	Professional		$109.53	$131.82	$745.14
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $81.84 / $89.94 / $538.00	Professional	26	$81.84	$89.94	$538.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.05 / $35.35 / $340.13	Professional	TC	$24.05	$35.35	$340.13
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $217.63 / $217.63 / $217.63	Facility	26	$217.63	$217.63	$217.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $182.49 / $206.55 / $276.38	Professional		$182.49	$206.55	$276.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $125.82 / $219.38	Professional		$31.89	$125.82	$219.38
United Facility/Professional Professional Modifier Low / Median / High Price $104.05 / $112.27 / $224.54	Professional		$104.05	$112.27	$224.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.56 / $88.22 / $176.44	Professional	26	$79.56	$88.22	$176.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.85 / $25.77 / $76.95	Professional	TC	$22.85	$25.77	$76.95