Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.43 / $101.61 / $223.29	Facility	26	$21.43	$101.61	$223.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.18 / $107.86 / $963.47	Professional		$84.18	$107.86	$963.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.43 / $32.47 / $83.58	Professional	26	$21.43	$32.47	$83.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.75 / $62.75 / $721.77	Professional	TC	$62.75	$62.75	$721.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.65 / $63.65 / $74.93	Professional	26	$63.65	$63.65	$74.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.50 / $200.71 / $202.80	Professional		$178.50	$200.71	$202.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.68 / $51.36 / $51.89	Professional	26	$45.68	$51.36	$51.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $132.81 / $149.34 / $151.16	Professional	TC	$132.81	$149.34	$151.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $186.78 / $186.78 / $186.78	Facility	26	$186.78	$186.78	$186.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $276.27 / $345.35	Professional		$195.00	$276.27	$345.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.00 / $68.89 / $86.12	Professional	26	$51.00	$68.89	$86.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.00 / $207.39 / $259.23	Professional	TC	$144.00	$207.39	$259.23
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $148.36 / $148.36 / $148.36	Facility	26	$148.36	$148.36	$148.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.95 / $129.46 / $875.57	Professional		$88.95	$129.46	$875.57
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.25 / $34.88 / $97.00	Professional	26	$26.25	$34.88	$97.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $62.68 / $94.58 / $663.40	Professional	TC	$62.68	$94.58	$663.40
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $88.80 / $91.38 / $186.78	Facility	26	$88.80	$91.38	$186.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $160.84 / $227.89 / $329.79	Professional		$160.84	$227.89	$329.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.09 / $136.04 / $237.19	Professional		$36.09	$136.04	$237.19
United Facility/Professional Professional Modifier Low / Median / High Price $88.95 / $129.46 / $190.31	Professional		$88.95	$129.46	$190.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.25 / $34.88 / $52.36	Professional	26	$26.25	$34.88	$52.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.44 / $94.58 / $183.25	Professional	TC	$62.44	$94.58	$183.25