Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.60 / $355.08 / $598.51	Facility	26	$57.60	$355.08	$598.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.74 / $210.88 / $1,410.22	Professional		$204.74	$210.88	$1,410.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.60 / $69.00 / $171.54	Professional	26	$57.60	$69.00	$171.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $147.13 / $147.13 / $1,053.10	Professional	TC	$147.13	$147.13	$1,053.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.71 / $110.04 / $110.04	Professional	26	$57.71	$110.04	$110.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $373.80 / $399.56 / $423.81	Professional		$373.80	$399.56	$423.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $105.54 / $112.81 / $119.23	Professional	26	$105.54	$112.81	$119.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $268.24 / $286.72 / $304.57	Professional	TC	$268.24	$286.72	$304.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $332.94 / $332.94 / $332.94	Facility	26	$332.94	$332.94	$332.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.00 / $475.43 / $650.00	Professional		$325.00	$475.43	$650.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.03 / $132.26 / $169.68	Professional	26	$87.03	$132.26	$169.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $227.50 / $340.85 / $521.91	Professional	TC	$227.50	$340.85	$521.91
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $561.91 / $561.91 / $561.91	Facility	26	$561.91	$561.91	$561.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $300.30 / $503.08 / $2,220.23	Professional		$300.30	$503.08	$2,220.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $78.54 / $122.49 / $590.91	Professional	26	$78.54	$122.49	$590.91
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $220.32 / $372.86 / $1,822.59	Professional	TC	$220.32	$372.86	$1,822.59
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $220.12 / $226.53 / $332.94	Facility	26	$220.12	$226.53	$332.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $404.83 / $584.51 / $710.96	Professional		$404.83	$584.51	$710.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.01 / $162.61 / $390.37	Professional		$65.01	$162.61	$390.37
United Facility/Professional Professional Modifier Low / Median / High Price $300.30 / $445.14 / $577.50	Professional		$300.30	$445.14	$577.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.81 / $119.96 / $153.80	Professional	26	$73.81	$119.96	$153.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $205.63 / $330.49 / $413.92	Professional	TC	$205.63	$330.49	$413.92