Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $34.14 / $34.14	Professional		$34.14	$34.14	$34.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.18 / $70.41 / $74.86	Professional	26	$19.18	$70.41	$74.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.97 / $14.97 / $14.97	Professional	TC	$14.97	$14.97	$14.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.89 / $45.84 / $67.69	Professional	26	$13.89	$45.84	$67.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.36 / $136.36 / $136.36	Facility		$136.36	$136.36	$136.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $79.43 / $83.60	Professional		$56.07	$79.43	$83.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.12 / $44.07 / $46.39	Professional	26	$31.12	$44.07	$46.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.96 / $35.35 / $37.21	Professional	TC	$24.96	$35.35	$37.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.99 / $103.31 / $123.20	Professional		$90.99	$103.31	$123.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.82 / $57.33 / $71.23	Professional	26	$51.82	$57.33	$71.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.00 / $43.67 / $55.13	Professional	TC	$32.00	$43.67	$55.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.14 / $98.33 / $248.27	Facility		$34.14	$98.33	$248.27
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $134.74 / $134.74 / $134.74	Facility	26	$134.74	$134.74	$134.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $52.04 / $342.09	Professional		$36.72	$52.04	$342.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $29.06 / $46.73 / $250.96	Professional	26	$29.06	$46.73	$250.96
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $11.16 / $22.67 / $250.96	Professional	TC	$11.16	$22.67	$250.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $95.49 / $128.38	Facility		$70.00	$95.49	$128.38
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $78.76 / $78.76 / $78.76	Facility	26	$78.76	$78.76	$78.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $95.49 / $123.20	Professional		$64.00	$95.49	$123.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.11 / $47.23 / $101.65	Professional		$26.11	$47.23	$101.65
United Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $52.00 / $100.04	Professional		$31.20	$52.00	$100.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.61 / $31.23 / $62.46	Professional	26	$27.61	$31.23	$62.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.46 / $20.77 / $32.25	Professional	TC	$12.46	$20.77	$32.25