Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.13 / $99.13 / $99.13	Facility	26	$99.13	$99.13	$99.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.43 / $193.58 / $497.64	Professional		$165.43	$193.58	$497.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.29 / $102.26 / $250.56	Professional	26	$96.29	$102.26	$250.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.30 / $79.14 / $103.60	Professional	TC	$66.30	$79.14	$103.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $157.72 / $291.80 / $326.50	Professional		$157.72	$291.80	$326.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $157.81 / $186.50 / $233.04	Professional	26	$157.81	$186.50	$233.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.80 / $269.00 / $372.29	Professional		$163.80	$269.00	$372.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $98.15 / $161.15 / $223.08	Professional	26	$98.15	$161.15	$223.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $65.65 / $107.86 / $149.21	Professional	TC	$65.65	$107.86	$149.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.22 / $383.32 / $475.05	Professional		$332.22	$383.32	$475.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $199.02 / $224.08 / $269.95	Professional	26	$199.02	$224.08	$269.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $133.19 / $157.82 / $205.09	Professional	TC	$133.19	$157.82	$205.09
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $467.77 / $467.77 / $467.77	Facility	26	$467.77	$467.77	$467.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $291.33 / $374.70 / $1,142.65	Professional		$291.33	$374.70	$1,142.65
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $168.90 / $211.12 / $663.65	Professional	26	$168.90	$211.12	$663.65
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $122.44 / $152.44 / $479.00	Professional	TC	$122.44	$152.44	$479.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $293.04 / $374.70 / $490.36	Professional		$293.04	$374.70	$490.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $184.54 / $355.04	Professional		$84.56	$184.54	$355.04
United Facility/Professional Professional Modifier Low / Median / High Price $291.33 / $375.21 / $446.67	Professional		$291.33	$375.21	$446.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $174.18 / $234.34 / $260.12	Professional	26	$174.18	$234.34	$260.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $126.27 / $156.10 / $187.73	Professional	TC	$126.27	$156.10	$187.73