Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.50 / $57.36 / $76.88	Facility	26	$23.50	$57.36	$76.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.79 / $120.83 / $737.54	Professional		$90.79	$120.83	$737.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.50 / $29.12 / $136.80	Professional	26	$23.50	$29.12	$136.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.65 / $97.33 / $600.74	Professional	TC	$61.65	$97.33	$600.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.61 / $62.61 / $62.61	Professional	26	$62.61	$62.61	$62.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $197.09 / $265.91	Professional		$117.00	$197.09	$265.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.41 / $37.43 / $50.93	Professional	26	$22.41	$37.43	$50.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $94.59 / $158.77 / $214.97	Professional	TC	$94.59	$158.77	$214.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.28 / $285.32 / $426.59	Professional		$162.28	$285.32	$426.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.41 / $57.79 / $90.73	Professional	26	$27.41	$57.79	$90.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $131.91 / $231.99 / $335.86	Professional	TC	$131.91	$231.99	$335.86
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $160.47 / $160.47 / $160.47	Facility	26	$160.47	$160.47	$160.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $227.46 / $301.24 / $1,341.64	Professional		$227.46	$301.24	$1,341.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.18 / $53.75 / $375.24	Professional	26	$40.18	$53.75	$375.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $200.81 / $262.56 / $1,090.58	Professional	TC	$200.81	$262.56	$1,090.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $198.92 / $257.30 / $336.73	Professional		$198.92	$257.30	$336.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.24 / $168.53 / $314.08	Professional		$40.24	$168.53	$314.08
United Facility/Professional Professional Modifier Low / Median / High Price $230.45 / $338.90 / $387.67	Professional		$230.45	$338.90	$387.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.18 / $55.75 / $61.66	Professional	26	$40.18	$55.75	$61.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $200.81 / $282.39 / $326.01	Professional	TC	$200.81	$282.39	$326.01