Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.59 / $19.59 / $19.95	Facility	26	$19.59	$19.59	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.48 / $69.48 / $405.77	Professional		$69.48	$69.48	$405.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.59 / $38.20 / $78.00	Professional	26	$19.59	$38.20	$78.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.90 / $49.90 / $297.45	Professional	TC	$49.90	$49.90	$297.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.15 / $165.15 / $165.15	Professional		$165.15	$165.15	$165.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.75 / $24.75 / $36.18	Professional	26	$24.75	$24.75	$36.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.94 / $138.90 / $142.37	Professional		$129.94	$138.90	$142.37
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.10 / $38.57 / $39.53	Professional	26	$36.10	$38.57	$39.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.84 / $100.31 / $102.83	Professional	TC	$93.84	$100.31	$102.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $115.21 / $181.47	Professional		$86.25	$115.21	$181.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.25 / $32.72 / $51.52	Professional	26	$23.25	$32.72	$51.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.00 / $82.51 / $129.94	Professional	TC	$63.00	$82.51	$129.94
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $104.06 / $104.06 / $104.06	Facility	26	$104.06	$104.06	$104.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.48 / $140.69 / $468.55	Professional		$91.48	$140.69	$468.55
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.03 / $39.15 / $126.27	Professional	26	$23.03	$39.15	$126.27
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $70.41 / $102.39 / $342.28	Professional	TC	$70.41	$102.39	$342.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.80 / $118.09 / $195.42	Professional		$93.80	$118.09	$195.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $57.03 / $138.27	Professional		$22.28	$57.03	$138.27
United Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $139.94 / $175.93	Professional		$98.52	$139.94	$175.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.03 / $39.08 / $50.20	Professional	26	$23.03	$39.08	$50.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.41 / $101.41 / $125.73	Professional	TC	$70.41	$101.41	$125.73