Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.52 / $292.89 / $493.69	Facility	26	$54.52	$292.89	$493.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.02 / $221.02 / $1,488.13	Professional		$221.02	$221.02	$1,488.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.52 / $59.76 / $338.90	Professional	26	$54.52	$59.76	$338.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $166.51 / $166.51 / $1,149.18	Professional	TC	$166.51	$166.51	$1,149.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $104.12 / $104.12 / $104.12	Professional	26	$104.12	$104.12	$104.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.14 / $430.92 / $457.50	Professional		$403.14	$430.92	$457.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $99.85 / $106.73 / $111.95	Professional	26	$99.85	$106.73	$111.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $303.26 / $324.16 / $344.68	Professional	TC	$303.26	$324.16	$344.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $315.00 / $315.00 / $315.00	Facility	26	$315.00	$315.00	$315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.90 / $515.17 / $784.56	Professional		$354.90	$515.17	$784.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.25 / $124.64 / $160.96	Professional	26	$72.25	$124.64	$160.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $281.87 / $387.83 / $643.00	Professional	TC	$281.87	$387.83	$643.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $530.79 / $530.79 / $530.79	Facility	26	$530.79	$530.79	$530.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $357.96 / $596.60 / $2,955.62	Professional		$357.96	$596.60	$2,955.62
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $68.84 / $115.58 / $596.05	Professional	26	$68.84	$115.58	$596.05
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $270.45 / $450.75 / $2,626.86	Professional	TC	$270.45	$450.75	$2,626.86
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $183.26 / $188.60 / $315.00	Facility	26	$183.26	$188.60	$315.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $436.60 / $612.70 / $902.36	Professional		$436.60	$612.70	$902.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $184.40 / $422.67	Professional		$61.54	$184.40	$422.67
United Facility/Professional Professional Modifier Low / Median / High Price $357.96 / $525.01 / $650.42	Professional		$357.96	$525.01	$650.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.84 / $114.49 / $145.85	Professional	26	$68.84	$114.49	$145.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $262.17 / $416.40 / $560.01	Professional	TC	$262.17	$416.40	$560.01