Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.91 / $194.07 / $526.05	Facility	26	$57.91	$194.07	$526.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.85 / $314.94 / $1,077.33	Professional		$168.85	$314.94	$1,077.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.91 / $135.44 / $298.00	Professional	26	$57.91	$135.44	$298.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $110.94 / $219.15 / $344.99	Professional	TC	$110.94	$219.15	$344.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.44 / $110.62 / $134.77	Professional	26	$44.44	$110.62	$134.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.12 / $329.33 / $349.51	Professional		$308.12	$329.33	$349.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $106.13 / $113.44 / $119.87	Professional	26	$106.13	$113.44	$119.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $201.99 / $215.90 / $229.65	Professional	TC	$201.99	$215.90	$229.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $334.74 / $334.74 / $334.74	Facility	26	$334.74	$334.74	$334.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.71 / $393.13 / $584.00	Professional		$215.71	$393.13	$584.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.44 / $132.97 / $170.65	Professional	26	$76.44	$132.97	$170.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $139.26 / $257.80 / $395.12	Professional	TC	$139.26	$257.80	$395.12
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $565.04 / $565.04 / $565.04	Facility	26	$565.04	$565.04	$565.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $232.79 / $365.70 / $1,897.57	Professional		$232.79	$365.70	$1,897.57
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $73.09 / $122.77 / $435.88	Professional	26	$73.09	$122.77	$435.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $152.38 / $257.88 / $1,600.00	Professional	TC	$152.38	$257.88	$1,600.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $195.94 / $201.64 / $334.74	Facility	26	$195.94	$201.64	$334.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $333.70 / $414.69 / $597.77	Professional		$333.70	$414.69	$597.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.51 / $162.38 / $289.87	Professional		$60.51	$162.38	$289.87
United Facility/Professional Professional Modifier Low / Median / High Price $232.79 / $356.21 / $447.68	Professional		$232.79	$356.21	$447.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.09 / $120.61 / $150.36	Professional	26	$73.09	$120.61	$150.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.81 / $257.88 / $296.81	Professional	TC	$141.81	$257.88	$296.81