Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.56 / $195.19 / $529.11	Facility	26	$58.56	$195.19	$529.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.19 / $259.57 / $949.36	Professional		$146.19	$259.57	$949.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.56 / $142.79 / $316.00	Professional	26	$58.56	$142.79	$316.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.65 / $90.04 / $586.08	Professional	TC	$87.65	$90.04	$586.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $335.28 / $335.28 / $335.28	Professional		$335.28	$335.28	$335.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.65 / $111.86 / $144.54	Professional	26	$62.65	$111.86	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.85 / $285.24 / $302.63	Professional		$266.85	$285.24	$302.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $106.73 / $114.09 / $119.98	Professional	26	$106.73	$114.09	$119.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $160.11 / $171.13 / $181.44	Professional	TC	$160.11	$171.13	$181.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $336.72 / $336.72 / $336.72	Facility	26	$336.72	$336.72	$336.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.20 / $341.00 / $446.03	Professional		$186.20	$341.00	$446.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.34 / $133.72 / $172.59	Professional	26	$70.34	$133.72	$172.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $118.82 / $204.18 / $312.48	Professional	TC	$118.82	$204.18	$312.48
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $568.24 / $568.24 / $568.24	Facility	26	$568.24	$568.24	$568.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $200.85 / $325.20 / $1,403.43	Professional		$200.85	$325.20	$1,403.43
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $73.90 / $124.15 / $384.88	Professional	26	$73.90	$124.15	$384.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $119.55 / $202.82 / $1,332.00	Professional	TC	$119.55	$202.82	$1,332.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $195.01 / $200.69 / $336.72	Facility	26	$195.01	$200.69	$336.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $289.00 / $360.72 / $482.00	Professional		$289.00	$360.72	$482.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.16 / $116.86 / $251.79	Professional		$61.16	$116.86	$251.79
United Facility/Professional Professional Modifier Low / Median / High Price $200.85 / $306.18 / $386.25	Professional		$200.85	$306.18	$386.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.90 / $121.95 / $152.04	Professional	26	$73.90	$121.95	$152.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $110.35 / $193.25 / $231.42	Professional	TC	$110.35	$193.25	$231.42