Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.00 / $20.89 / $37.19	Facility	26	$11.00	$20.89	$37.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.54 / $111.00 / $438.00	Professional		$75.54	$111.00	$438.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.00 / $14.30 / $57.00	Professional	26	$11.00	$14.30	$57.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $37.77 / $37.77 / $229.70	Professional	52	$37.77	$37.77	$229.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.54 / $97.21 / $158.13	Professional	TC	$64.54	$97.21	$158.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.88 / $57.88 / $176.29	Professional		$57.88	$57.88	$176.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.89 / $15.06 / $23.18	Professional	26	$8.89	$15.06	$23.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $123.15 / $165.90	Professional		$73.00	$123.15	$165.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.46 / $17.64 / $23.78	Professional	26	$10.46	$17.64	$23.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $62.53 / $105.28 / $142.09	Professional	TC	$62.53	$105.28	$142.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $176.54 / $215.48	Professional		$84.23	$176.54	$215.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.66 / $25.55 / $31.79	Professional	26	$12.66	$25.55	$31.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.12 / $150.59 / $186.69	Professional	TC	$75.12	$150.59	$186.69
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $125.86 / $125.86 / $125.86	Facility	26	$125.86	$125.86	$125.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $176.48 / $768.54	Professional		$125.82	$176.48	$768.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.28 / $23.30 / $267.48	Professional	26	$18.28	$23.30	$267.48
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $106.70 / $151.13 / $698.48	Professional	TC	$106.70	$151.13	$698.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $174.69 / $219.73	Professional		$121.00	$174.69	$219.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $85.75 / $154.40	Professional		$13.06	$85.75	$154.40
United Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $176.48 / $215.54	Professional		$125.82	$176.48	$215.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.28 / $23.90 / $29.31	Professional	26	$18.28	$23.90	$29.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $106.70 / $148.05 / $169.35	Professional	TC	$106.70	$148.05	$169.35