Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.39 / $10.90 / $15.94	Facility	26	$8.39	$10.90	$15.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.01 / $57.01 / $120.71	Professional		$52.01	$57.01	$120.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $8.77 / $22.04	Professional	26	$7.66	$8.77	$22.04
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $26.21 / $28.20 / $48.51	Professional	52	$26.21	$28.20	$48.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.02 / $47.73 / $76.19	Professional	TC	$44.02	$47.73	$76.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.11 / $103.40 / $121.71	Professional		$45.11	$103.40	$121.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.95 / $16.60 / $19.54	Professional	26	$10.95	$16.60	$19.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.57 / $85.31 / $114.94	Professional		$50.57	$85.31	$114.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $13.55 / $18.25	Professional	26	$8.02	$13.55	$18.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.53 / $71.76 / $96.68	Professional	TC	$42.53	$71.76	$96.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $118.64 / $231.41	Professional		$72.25	$118.64	$231.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.72 / $18.75 / $34.03	Professional	26	$12.72	$18.75	$34.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.53 / $101.20 / $197.38	Professional	TC	$59.53	$101.20	$197.38
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $20.60 / $80.00 / $80.00	Facility	26	$20.60	$80.00	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $113.56 / $373.69	Professional		$83.73	$113.56	$373.69
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.86 / $18.14 / $55.28	Professional	26	$13.86	$18.14	$55.28
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $66.40 / $86.80 / $318.41	Professional	TC	$66.40	$86.80	$318.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $106.58 / $136.22	Professional		$79.20	$106.58	$136.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $68.68 / $119.75	Professional		$10.46	$68.68	$119.75
United Facility/Professional Professional Modifier Low / Median / High Price $68.38 / $104.66 / $131.55	Professional		$68.38	$104.66	$131.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.19 / $17.12 / $21.91	Professional	26	$11.19	$17.12	$21.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.00 / $86.80 / $106.46	Professional	TC	$60.00	$86.80	$106.46