Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.26 / $58.26 / $58.26	Professional		$58.26	$58.26	$58.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.79 / $38.79 / $156.82	Professional	26	$38.79	$38.79	$156.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.46 / $19.46 / $19.46	Professional	TC	$19.46	$19.46	$19.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.96 / $27.96 / $89.47	Professional	26	$27.96	$27.96	$89.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.96 / $134.52 / $141.59	Professional		$94.96	$134.52	$141.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.96 / $89.18 / $93.87	Professional	26	$62.96	$89.18	$93.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.00 / $45.32 / $47.71	Professional	TC	$32.00	$45.32	$47.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.49 / $162.00 / $207.07	Professional		$157.49	$162.00	$207.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.22 / $115.41 / $136.97	Professional	26	$104.22	$115.41	$136.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.29 / $56.00 / $72.06	Professional	TC	$42.29	$56.00	$72.06
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $270.97 / $270.97 / $270.97	Facility	26	$270.97	$270.97	$270.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.79 / $92.03 / $587.10	Professional		$83.79	$92.03	$587.10
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $56.79 / $62.93 / $381.48	Professional	26	$56.79	$62.93	$381.48
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.04 / $29.48 / $205.55	Professional	TC	$24.04	$29.48	$205.55
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $161.41 / $161.41 / $161.41	Facility	26	$161.41	$161.41	$161.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $140.16 / $158.96 / $217.42	Professional		$140.16	$158.96	$217.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $94.64 / $170.54	Professional		$32.97	$94.64	$170.54
United Facility/Professional Professional Modifier Low / Median / High Price $82.56 / $86.97 / $173.82	Professional		$82.56	$86.97	$173.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.85 / $62.86 / $121.14	Professional	26	$55.85	$62.86	$121.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.84 / $26.71 / $48.10	Professional	TC	$22.84	$26.71	$48.10