Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,166.29 / $5,463.36 / $13,841.56	Facility		$2,166.29	$5,463.36	$13,841.56
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.89 / $115.89 / $115.89	Facility	26	$115.89	$115.89	$115.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.56 / $609.00 / $758.38	Professional		$359.56	$609.00	$758.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $115.89 / $115.89 / $666.42	Professional	26	$115.89	$115.89	$666.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $243.67 / $243.67 / $1,356.35	Professional	TC	$243.67	$243.67	$1,356.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $661.88 / $661.88 / $661.88	Professional		$661.88	$661.88	$661.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,243.81 / $3,040.94 / $5,708.62	Facility		$2,243.81	$3,040.94	$5,708.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.10 / $584.03 / $782.03	Professional		$344.10	$584.03	$782.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $111.41 / $189.90 / $253.19	Professional	26	$111.41	$189.90	$253.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $233.19 / $394.13 / $529.98	Professional	TC	$233.19	$394.13	$529.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $714.00 / $887.30 / $1,074.80	Professional		$714.00	$887.30	$1,074.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $232.16 / $288.51 / $390.10	Professional	26	$232.16	$288.51	$390.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $481.83 / $598.78 / $700.22	Professional	TC	$481.83	$598.78	$700.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $360.58 / $683.16 / $1,775.00	Facility		$360.58	$683.16	$1,775.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $564.64 / $564.64 / $564.64	Facility	26	$564.64	$564.64	$564.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $475.36 / $792.27 / $2,844.40	Professional		$475.36	$792.27	$2,844.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $165.52 / $275.87 / $930.32	Professional	26	$165.52	$275.87	$930.32
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $309.83 / $516.40 / $1,914.08	Professional	TC	$309.83	$516.40	$1,914.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $398.70 / $714.00 / $1,074.80	Facility		$398.70	$714.00	$1,074.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $516.72 / $821.74 / $1,074.80	Professional		$516.72	$821.74	$1,074.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $423.80 / $1,058.90	Professional		$3.00	$423.80	$1,058.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,227.00 / $6,169.00	Facility		$1,775.00	$3,227.00	$6,169.00
United Facility/Professional Professional Modifier Low / Median / High Price $492.97 / $820.58 / $928.74	Professional		$492.97	$820.58	$928.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $171.66 / $285.73 / $353.36	Professional	26	$171.66	$285.73	$353.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $321.31 / $534.85 / $616.49	Professional	TC	$321.31	$534.85	$616.49