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 $147.84 / $321.13 / $941.09	Professional		$147.84	$321.13	$941.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.52 / $119.86 / $222.89	Professional	26	$51.52	$119.86	$222.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.31 / $231.15 / $591.91	Professional	TC	$96.31	$231.15	$591.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.64 / $338.64 / $338.64	Professional		$338.64	$338.64	$338.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $55.11 / $98.40 / $126.90	Professional	26	$55.11	$98.40	$126.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.06 / $288.68 / $306.02	Professional		$270.06	$288.68	$306.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.79 / $100.26 / $106.65	Professional	26	$93.79	$100.26	$106.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $176.30 / $188.44 / $199.36	Professional	TC	$176.30	$188.44	$199.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $295.86 / $295.86 / $295.86	Facility	26	$295.86	$295.86	$295.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.58 / $344.80 / $521.00	Professional		$188.58	$344.80	$521.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.59 / $117.40 / $152.22	Professional	26	$67.59	$117.40	$152.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.99 / $224.45 / $357.91	Professional	TC	$120.99	$224.45	$357.91
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $498.88 / $498.88 / $498.88	Facility	26	$498.88	$498.88	$498.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $203.49 / $344.37 / $1,708.01	Professional		$203.49	$344.37	$1,708.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $71.58 / $109.22 / $384.71	Professional	26	$71.58	$109.22	$384.71
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $131.91 / $223.23 / $2,023.00	Professional	TC	$131.91	$223.23	$2,023.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $199.14 / $204.94 / $295.86	Facility	26	$199.14	$204.94	$295.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $292.50 / $365.35 / $524.16	Professional		$292.50	$365.35	$524.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.64 / $142.44 / $254.26	Professional		$53.64	$142.44	$254.26
United Facility/Professional Professional Modifier Low / Median / High Price $187.84 / $344.37 / $428.60	Professional		$187.84	$344.37	$428.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.61 / $107.37 / $137.65	Professional	26	$70.61	$107.37	$137.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $121.76 / $212.39 / $280.47	Professional	TC	$121.76	$212.39	$280.47