Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.31 / $42.31 / $42.31	Facility	26	$42.31	$42.31	$42.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.30 / $82.31 / $96.14	Professional		$64.30	$82.31	$96.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.69 / $42.31 / $47.98	Professional	26	$35.69	$42.31	$47.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.61 / $40.00 / $48.69	Professional	TC	$28.61	$40.00	$48.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $72.95 / $72.95	Professional		$72.95	$72.95	$72.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.50 / $134.44 / $185.22	Professional		$81.50	$134.44	$185.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.89 / $68.20 / $95.21	Professional	26	$41.89	$68.20	$95.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.60 / $66.26 / $90.01	Professional	TC	$39.60	$66.26	$90.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $190.20 / $210.24	Professional		$156.72	$190.20	$210.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.21 / $94.39 / $114.04	Professional	26	$84.21	$94.39	$114.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.97 / $91.42 / $101.71	Professional	TC	$68.97	$91.42	$101.71
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $196.79 / $196.79 / $196.79	Facility	26	$196.79	$196.79	$196.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.04 / $163.52 / $567.30	Professional		$120.04	$163.52	$567.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $71.34 / $89.18 / $318.67	Professional	26	$71.34	$89.18	$318.67
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $44.22 / $74.34 / $318.67	Professional	TC	$44.22	$74.34	$318.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $168.80 / $214.77	Professional		$102.00	$168.80	$214.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $86.52 / $176.51	Professional		$47.24	$86.52	$176.51
United Facility/Professional Professional Modifier Low / Median / High Price $125.09 / $159.43 / $206.60	Professional		$125.09	$159.43	$206.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.34 / $89.18 / $111.02	Professional	26	$71.34	$89.18	$111.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.26 / $82.52 / $100.40	Professional	TC	$55.26	$82.52	$100.40