Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.58 / $74.58 / $74.58	Facility	26	$74.58	$74.58	$74.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.34 / $147.19 / $378.43	Professional		$126.34	$147.19	$378.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.04 / $79.23 / $187.58	Professional	26	$72.04	$79.23	$187.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.76 / $61.31 / $80.29	Professional	TC	$51.76	$61.31	$80.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.59 / $241.18 / $249.62	Professional		$120.59	$241.18	$249.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $100.23 / $140.11 / $175.07	Professional	26	$100.23	$140.11	$175.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.09 / $205.80 / $284.31	Professional		$125.09	$205.80	$284.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.84 / $121.00 / $167.84	Professional	26	$73.84	$121.00	$167.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.25 / $84.79 / $116.48	Professional	TC	$51.25	$84.79	$116.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.16 / $293.26 / $362.13	Professional		$254.16	$293.26	$362.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $149.41 / $167.88 / $202.53	Professional	26	$149.41	$167.88	$202.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.73 / $122.82 / $159.60	Professional	TC	$104.73	$122.82	$159.60
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $351.19 / $351.19 / $351.19	Facility	26	$351.19	$351.19	$351.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $221.58 / $276.98 / $379.84	Professional		$221.58	$276.98	$379.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $126.42 / $158.02 / $497.06	Professional	26	$126.42	$158.02	$497.06
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $95.16 / $118.35 / $376.97	Professional	TC	$95.16	$118.35	$376.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $221.78 / $285.63 / $373.80	Professional		$221.78	$285.63	$373.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.51 / $141.09 / $272.33	Professional		$66.51	$141.09	$272.33
United Facility/Professional Professional Modifier Low / Median / High Price $221.58 / $285.94 / $339.72	Professional		$221.58	$285.94	$339.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $130.37 / $175.40 / $195.70	Professional	26	$130.37	$175.40	$195.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.88 / $120.92 / $145.90	Professional	TC	$97.88	$120.92	$145.90