Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $41.99 / $56.27	Facility	26	$16.98	$41.99	$56.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $68.22 / $197.89	Professional		$47.40	$68.22	$197.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $26.64 / $79.41	Professional	26	$16.98	$26.64	$79.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.41 / $42.63 / $69.20	Professional	TC	$30.41	$42.63	$69.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.64 / $39.59 / $39.59	Professional	26	$33.64	$39.59	$39.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.74 / $77.17 / $103.95	Professional		$45.74	$77.17	$103.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.26 / $27.43 / $36.95	Professional	26	$16.26	$27.43	$36.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.48 / $49.60 / $67.01	Professional	TC	$29.48	$49.60	$67.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.60 / $107.23 / $134.08	Professional		$55.60	$107.23	$134.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.52 / $37.47 / $47.94	Professional	26	$19.52	$37.47	$47.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.08 / $69.09 / $86.37	Professional	TC	$36.08	$69.09	$86.37
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $128.36 / $128.36 / $128.36	Facility	26	$128.36	$128.36	$128.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.43 / $109.75 / $604.11	Professional		$65.43	$109.75	$604.11
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.50 / $36.15 / $456.30	Professional	26	$23.50	$36.15	$456.30
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $41.93 / $71.59 / $388.70	Professional	TC	$41.93	$71.59	$388.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $107.23 / $142.06	Professional		$79.98	$107.23	$142.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $64.95 / $138.00	Professional		$33.15	$64.95	$138.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.43 / $111.73 / $124.67	Professional		$65.43	$111.73	$124.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.50 / $36.82 / $44.79	Professional	26	$23.50	$36.82	$44.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.93 / $72.53 / $94.03	Professional	TC	$41.93	$72.53	$94.03