Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.56 / $220.86 / $598.51	Facility	26	$73.56	$220.86	$598.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.07 / $380.45 / $1,415.64	Professional		$216.07	$380.45	$1,415.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.00 / $162.22 / $221.38	Professional	26	$69.00	$162.22	$221.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $142.50 / $146.41 / $955.86	Professional	TC	$142.50	$146.41	$955.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $175.82 / $175.82 / $175.82	Professional		$175.82	$175.82	$175.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $78.73 / $145.50 / $182.01	Professional	26	$78.73	$145.50	$182.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.93 / $420.00 / $447.25	Professional		$392.93	$420.00	$447.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $134.40 / $143.66 / $147.25	Professional	26	$134.40	$143.66	$147.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $258.52 / $276.33 / $294.97	Professional	TC	$258.52	$276.33	$294.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $423.96 / $423.96 / $423.96	Facility	26	$423.96	$423.96	$423.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.32 / $500.93 / $657.41	Professional		$275.32	$500.93	$657.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.17 / $168.43 / $216.23	Professional	26	$97.17	$168.43	$216.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $189.88 / $329.00 / $503.79	Professional	TC	$189.88	$329.00	$503.79
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $714.16 / $714.16 / $714.16	Facility	26	$714.16	$714.16	$714.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $297.79 / $478.21 / $2,036.01	Professional		$297.79	$478.21	$2,036.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $83.11 / $155.97 / $484.69	Professional	26	$83.11	$155.97	$484.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $195.02 / $330.58 / $2,005.00	Professional	TC	$195.02	$330.58	$2,005.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $220.12 / $226.53 / $423.96	Facility	26	$220.12	$226.53	$423.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $425.55 / $545.08 / $687.00	Professional		$425.55	$545.08	$687.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.53 / $198.33 / $368.35	Professional		$76.53	$198.33	$368.35
United Facility/Professional Professional Modifier Low / Median / High Price $297.79 / $453.75 / $572.67	Professional		$297.79	$453.75	$572.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.11 / $155.97 / $192.17	Professional	26	$83.11	$155.97	$192.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $195.02 / $330.04 / $369.97	Professional	TC	$195.02	$330.04	$369.97