Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.26 / $88.96 / $119.22	Facility	26	$35.26	$88.96	$119.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.35 / $193.87 / $903.00	Professional		$181.35	$193.87	$903.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.46 / $35.26 / $90.89	Professional	26	$21.46	$35.26	$90.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $146.09 / $162.49 / $211.47	Professional	TC	$146.09	$162.49	$211.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.86 / $62.86 / $62.86	Professional	26	$62.86	$62.86	$62.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.28 / $295.82 / $400.63	Professional		$176.28	$295.82	$400.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.81 / $57.03 / $76.84	Professional	26	$33.81	$57.03	$76.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $142.47 / $238.00 / $323.81	Professional	TC	$142.47	$238.00	$323.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.71 / $414.55 / $518.19	Professional		$201.71	$414.55	$518.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.09 / $75.37 / $100.69	Professional	26	$36.09	$75.37	$100.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.36 / $339.18 / $423.97	Professional	TC	$169.36	$339.18	$423.97
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $169.56 / $169.56 / $169.56	Facility	26	$169.56	$169.56	$169.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $303.86 / $377.28 / $1,546.49	Professional		$303.86	$377.28	$1,546.49
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $39.74 / $68.34 / $391.31	Professional	26	$39.74	$68.34	$391.31
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $245.44 / $337.54 / $1,417.87	Professional	TC	$245.44	$337.54	$1,417.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $302.57 / $387.84 / $507.58	Professional		$302.57	$387.84	$507.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $309.20 / $461.60 / $540.00	Professional		$309.20	$461.60	$540.00
United Facility/Professional Professional Modifier Low / Median / High Price $263.00 / $424.84 / $469.43	Professional		$263.00	$424.84	$469.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.36 / $74.04 / $92.52	Professional	26	$42.36	$74.04	$92.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.44 / $355.64 / $389.32	Professional	TC	$245.44	$355.64	$389.32