Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.39 / $26.39 / $34.29	Facility	26	$26.39	$26.39	$34.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.42 / $64.34 / $131.44	Professional		$57.42	$64.34	$131.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.39 / $29.82 / $67.00	Professional	26	$26.39	$29.82	$67.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.03 / $33.03 / $44.93	Professional	TC	$31.03	$33.03	$44.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.05 / $25.27 / $52.25	Professional	26	$23.05	$25.27	$52.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.90 / $96.01 / $129.34	Professional		$56.90	$96.01	$129.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.26 / $42.60 / $57.39	Professional	26	$25.26	$42.60	$57.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.66 / $53.40 / $71.95	Professional	TC	$31.66	$53.40	$71.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.97 / $132.60 / $258.64	Professional		$78.97	$132.60	$258.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.70 / $59.11 / $108.90	Professional	26	$39.70	$59.11	$108.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.06 / $72.06 / $149.74	Professional	TC	$39.06	$72.06	$149.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $64.69 / $122.62 / $122.62	Facility	26	$64.69	$122.62	$122.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.79 / $117.14 / $717.26	Professional		$85.79	$117.14	$717.26
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $43.66 / $57.67 / $330.63	Professional	26	$43.66	$57.67	$330.63
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $42.81 / $55.96 / $563.89	Professional	TC	$42.81	$55.96	$563.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $88.86 / $119.65 / $155.54	Professional		$88.86	$119.65	$155.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $66.90 / $132.68	Professional		$32.15	$66.90	$132.68
United Facility/Professional Professional Modifier Low / Median / High Price $66.30 / $109.34 / $137.54	Professional		$66.30	$109.34	$137.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.40 / $53.37 / $68.91	Professional	26	$32.40	$53.37	$68.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.21 / $54.56 / $81.42	Professional	TC	$37.21	$54.56	$81.42