Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.40 / $74.40 / $74.40	Facility	26	$74.40	$74.40	$74.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.19 / $110.69 / $213.03	Professional		$85.19	$110.69	$213.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.04 / $78.58 / $108.11	Professional	26	$74.04	$78.58	$108.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.09 / $31.67 / $42.25	Professional	TC	$26.09	$31.67	$42.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.81 / $152.68 / $210.68	Professional		$89.81	$152.68	$210.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.38 / $164.38 / $232.68	Professional		$102.38	$164.38	$232.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.87 / $118.61 / $167.88	Professional	26	$73.87	$118.61	$167.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.51 / $45.77 / $64.79	Professional	TC	$28.51	$45.77	$64.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.27 / $210.71 / $266.17	Professional		$91.27	$210.71	$266.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.00 / $154.16 / $205.85	Professional	26	$65.00	$154.16	$205.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.46 / $57.10 / $71.31	Professional	TC	$21.46	$57.10	$71.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.68 / $199.06 / $279.93	Professional		$98.68	$199.06	$279.93
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $73.40 / $148.07 / $223.31	Professional	26	$73.40	$148.07	$223.31
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.34 / $44.38 / $76.54	Professional	TC	$25.34	$44.38	$76.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $140.12 / $205.09 / $266.17	Professional		$140.12	$205.09	$266.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $112.99 / $217.28	Professional		$31.17	$112.99	$217.28
United Facility/Professional Professional Modifier Low / Median / High Price $98.74 / $185.92 / $259.95	Professional		$98.74	$185.92	$259.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.40 / $158.04 / $191.16	Professional	26	$73.40	$158.04	$191.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.79 / $48.18 / $73.22	Professional	TC	$25.79	$48.18	$73.22