Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.88 / $60.52 / $74.77	Professional		$49.88	$60.52	$74.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.22 / $9.47 / $12.57	Professional	26	$8.22	$9.47	$12.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.55 / $51.02 / $62.21	Professional	TC	$41.55	$51.02	$62.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.42 / $73.00 / $133.62	Professional		$39.42	$73.00	$133.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.47 / $13.38 / $22.82	Professional	26	$6.47	$13.38	$22.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.76 / $61.44 / $111.30	Professional	TC	$32.76	$61.44	$111.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $50.74 / $84.46	Professional		$38.65	$50.74	$84.46
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $6.41 / $8.41 / $14.81	Professional	26	$6.41	$8.41	$14.81
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $32.25 / $42.33 / $71.70	Professional	TC	$32.25	$42.33	$71.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.54 / $61.24 / $142.91	Professional		$46.54	$61.24	$142.91
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $11.05 / $32.20	Professional	26	$8.46	$11.05	$32.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $37.72 / $48.10 / $116.14	Professional	TC	$37.72	$48.10	$116.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.61 / $108.00 / $133.62	Professional		$64.61	$108.00	$133.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $49.41 / $95.15	Professional		$8.84	$49.41	$95.15
United Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $56.70 / $104.54	Professional		$45.70	$56.70	$104.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $10.79 / $23.97	Professional	26	$8.46	$10.79	$23.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.20 / $46.09 / $86.58	Professional	TC	$37.20	$46.09	$86.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $100.40 / $100.40 / $118.20	Professional		$100.40	$100.40	$118.20
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $16.00 / $16.00 / $18.89	Professional	26	$16.00	$16.00	$18.89
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $84.40 / $84.40 / $99.30	Professional	TC	$84.40	$84.40	$99.30