Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.13 / $96.13 / $96.13	Facility	26	$96.13	$96.13	$96.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.11 / $655.96 / $1,473.00	Professional		$340.11	$655.96	$1,473.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.13 / $96.13 / $232.74	Professional	26	$96.13	$96.13	$232.74
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $327.98 / $344.97 / $362.63	Professional	52	$327.98	$344.97	$362.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.93 / $243.98 / $637.84	Professional	TC	$206.93	$243.98	$637.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $627.33 / $627.33 / $627.33	Professional		$627.33	$627.33	$627.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.49 / $554.54 / $739.74	Professional		$325.49	$554.54	$739.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $92.43 / $157.55 / $210.06	Professional	26	$92.43	$157.55	$210.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $233.49 / $397.00 / $530.65	Professional	TC	$233.49	$397.00	$530.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $677.97 / $842.52 / $1,004.58	Professional		$677.97	$842.52	$1,004.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $192.61 / $239.36 / $324.06	Professional	26	$192.61	$239.36	$324.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $485.36 / $596.51 / $708.01	Professional	TC	$485.36	$596.51	$708.01
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $463.23 / $463.23 / $463.23	Facility	26	$463.23	$463.23	$463.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.07 / $743.45 / $2,698.08	Professional		$446.07	$743.45	$2,698.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $137.57 / $229.28 / $770.56	Professional	26	$137.57	$229.28	$770.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $308.50 / $514.16 / $1,927.52	Professional	TC	$308.50	$514.16	$1,927.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $477.88 / $768.06 / $1,004.58	Professional		$477.88	$768.06	$1,004.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $310.80 / $1,005.80	Professional		$3.00	$310.80	$1,005.80
United Facility/Professional Professional Modifier Low / Median / High Price $462.59 / $770.01 / $878.50	Professional		$462.59	$770.01	$878.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $137.57 / $237.47 / $292.93	Professional	26	$137.57	$237.47	$292.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $319.93 / $532.54 / $630.20	Professional	TC	$319.93	$532.54	$630.20