Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.52 / $172.34 / $466.83	Facility	26	$51.52	$172.34	$466.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.81 / $148.19 / $943.29	Professional		$143.81	$148.19	$943.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.20 / $125.98 / $264.00	Professional	26	$49.20	$125.98	$264.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $92.29 / $109.72 / $579.46	Professional	TC	$92.29	$109.72	$579.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $55.11 / $119.88 / $127.65	Professional	26	$55.11	$119.88	$127.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.62 / $281.77 / $297.69	Professional		$263.62	$281.77	$297.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $94.35 / $100.86 / $106.65	Professional	26	$94.35	$100.86	$106.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $169.24 / $180.90 / $190.49	Professional	TC	$169.24	$180.90	$190.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $297.66 / $297.66 / $297.66	Facility	26	$297.66	$297.66	$297.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.77 / $336.65 / $489.00	Professional		$184.77	$336.65	$489.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.45 / $118.13 / $152.22	Professional	26	$68.45	$118.13	$152.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $116.32 / $216.28 / $331.73	Professional	TC	$116.32	$216.28	$331.73
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $502.08 / $502.08 / $502.08	Facility	26	$502.08	$502.08	$502.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $198.80 / $304.88 / $1,547.04	Professional		$198.80	$304.88	$1,547.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $65.06 / $109.23 / $363.24	Professional	26	$65.06	$109.23	$363.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $127.22 / $215.29 / $1,263.33	Professional	TC	$127.22	$215.29	$1,263.33
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $172.47 / $177.50 / $297.66	Facility	26	$172.47	$177.50	$297.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $285.50 / $354.79 / $502.00	Professional		$285.50	$354.79	$502.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.64 / $139.18 / $248.44	Professional		$53.64	$139.18	$248.44
United Facility/Professional Professional Modifier Low / Median / High Price $183.50 / $302.00 / $421.06	Professional		$183.50	$302.00	$421.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.06 / $107.37 / $133.85	Professional	26	$65.06	$107.37	$133.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $127.22 / $215.29 / $244.65	Professional	TC	$127.22	$215.29	$244.65