Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,506.15 / $5,463.36 / $13,841.56	Facility		$1,506.15	$5,463.36	$13,841.56
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.81 / $36.81 / $36.81	Facility	26	$36.81	$36.81	$36.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.44 / $238.67 / $546.00	Professional		$179.44	$238.67	$546.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.81 / $36.81 / $111.11	Professional	26	$36.81	$36.81	$111.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $98.17 / $142.63 / $424.06	Professional	TC	$98.17	$142.63	$424.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $307.35 / $307.35 / $307.35	Professional		$307.35	$307.35	$307.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $357.46 / $484.46 / $909.45	Facility		$357.46	$484.46	$909.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.72 / $287.81 / $390.27	Professional		$171.72	$287.81	$390.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.28 / $60.14 / $80.20	Professional	26	$35.28	$60.14	$80.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $136.50 / $227.66 / $310.22	Professional	TC	$136.50	$227.66	$310.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.79 / $415.31 / $489.86	Professional		$309.79	$415.31	$489.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.54 / $91.39 / $124.43	Professional	26	$73.54	$91.39	$124.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $216.97 / $290.88 / $379.81	Professional	TC	$216.97	$290.88	$379.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $179.44 / $269.16 / $2,922.50	Facility		$179.44	$269.16	$2,922.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $181.86 / $181.86 / $181.86	Facility	26	$181.86	$181.86	$181.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $205.25 / $296.48 / $1,531.99	Professional		$205.25	$296.48	$1,531.99
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $93.13 / $907.84	Professional	26	$52.46	$93.13	$907.84
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $152.79 / $220.70 / $1,117.24	Professional	TC	$152.79	$220.70	$1,117.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $277.00 / $362.45 / $563.82	Facility		$277.00	$362.45	$563.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $218.07 / $351.89 / $528.05	Professional		$218.07	$351.89	$528.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $209.00 / $334.80 / $541.79	Professional		$209.00	$334.80	$541.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,775.00 / $4,406.00	Facility		$1,031.00	$1,775.00	$4,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.86 / $342.09 / $460.74	Professional		$212.86	$342.09	$460.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $87.44 / $95.32	Professional	26	$52.46	$87.44	$95.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $152.79 / $251.26 / $348.63	Professional	TC	$152.79	$251.26	$348.63