Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.29 / $32.29 / $32.29	Facility	26	$32.29	$32.29	$32.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.80 / $98.28 / $180.38	Professional		$62.80	$98.28	$180.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.06 / $33.63 / $41.70	Professional	26	$27.06	$33.63	$41.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.03 / $65.98 / $85.60	Professional	TC	$33.03	$65.98	$85.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $182.24 / $182.24 / $182.24	Professional		$182.24	$182.24	$182.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $157.88 / $221.16	Professional		$97.31	$157.88	$221.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.96 / $52.53 / $72.65	Professional	26	$31.96	$52.53	$72.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.93 / $105.34 / $147.59	Professional	TC	$64.93	$105.34	$147.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.04 / $214.26 / $242.30	Professional		$159.04	$214.26	$242.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.87 / $72.78 / $87.24	Professional	26	$64.87	$72.78	$87.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $88.45 / $130.11 / $161.69	Professional	TC	$88.45	$130.11	$161.69
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $152.90 / $152.90 / $152.90	Facility	26	$152.90	$152.90	$152.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.17 / $172.53 / $687.40	Professional		$91.17	$172.53	$687.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.29 / $67.86 / $224.56	Professional	26	$54.29	$67.86	$224.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $36.11 / $106.37 / $472.45	Professional	TC	$36.11	$106.37	$472.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $167.42 / $242.30	Professional		$90.00	$167.42	$242.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $106.61 / $205.02	Professional		$38.04	$106.61	$205.02
United Facility/Professional Professional Modifier Low / Median / High Price $109.34 / $172.53 / $234.40	Professional		$109.34	$172.53	$234.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.29 / $72.78 / $84.73	Professional	26	$54.29	$72.78	$84.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.43 / $106.37 / $164.51	Professional	TC	$46.43	$106.37	$164.51