Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.71 / $58.67 / $78.66	Facility	26	$23.71	$58.67	$78.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.65 / $216.60 / $478.71	Professional		$91.65	$216.60	$478.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.03 / $28.45 / $114.00	Professional	26	$23.03	$28.45	$114.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.94 / $82.79 / $125.54	Professional	TC	$67.94	$82.79	$125.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $180.59 / $180.59 / $212.57	Professional		$180.59	$180.59	$212.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.95 / $48.72 / $55.26	Professional	26	$46.95	$48.72	$55.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.48 / $149.28 / $201.11	Professional		$88.48	$149.28	$201.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.69 / $38.28 / $51.57	Professional	26	$22.69	$38.28	$51.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $65.79 / $111.00 / $149.53	Professional	TC	$65.79	$111.00	$149.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.17 / $208.00 / $257.35	Professional		$102.17	$208.00	$257.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.43 / $52.58 / $66.95	Professional	26	$27.43	$52.58	$66.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $94.74 / $156.94 / $194.54	Professional	TC	$94.74	$156.94	$194.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $136.00 / $136.00 / $136.00	Facility	26	$136.00	$136.00	$136.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.35 / $186.97 / $698.76	Professional		$120.35	$186.97	$698.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $32.79 / $50.46 / $279.51	Professional	26	$32.79	$50.46	$279.51
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $87.55 / $138.60 / $479.00	Professional	TC	$87.55	$138.60	$479.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $152.21 / $208.00 / $268.06	Professional		$152.21	$208.00	$268.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.27 / $145.26 / $214.10	Professional		$46.27	$145.26	$214.10
United Facility/Professional Professional Modifier Low / Median / High Price $120.35 / $186.97 / $240.49	Professional		$120.35	$186.97	$240.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.79 / $54.19 / $62.49	Professional	26	$32.79	$54.19	$62.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.55 / $149.52 / $178.27	Professional	TC	$87.55	$149.52	$178.27