Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.28 / $274.85 / $744.35	Facility	26	$67.28	$274.85	$744.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.11 / $348.72 / $2,161.75	Professional		$320.11	$348.72	$2,161.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.28 / $156.72 / $420.20	Professional	26	$67.28	$156.72	$420.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $252.83 / $274.93 / $1,741.54	Professional	TC	$252.83	$274.93	$1,741.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $730.01 / $730.01 / $730.01	Professional		$730.01	$730.01	$730.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $67.43 / $156.62 / $156.62	Professional	26	$67.43	$156.62	$156.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $584.50 / $624.75 / $662.63	Professional		$584.50	$624.75	$662.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $123.40 / $131.90 / $139.27	Professional	26	$123.40	$131.90	$139.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $461.08 / $492.86 / $523.36	Professional	TC	$461.08	$492.86	$523.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $389.22 / $389.22 / $389.22	Facility	26	$389.22	$389.22	$389.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $544.77 / $745.53 / $1,223.45	Professional		$544.77	$745.53	$1,223.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.71 / $157.22 / $197.80	Professional	26	$88.71	$157.22	$197.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $402.50 / $588.28 / $1,090.39	Professional	TC	$402.50	$588.28	$1,090.39
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $656.72 / $656.72 / $656.72	Facility	26	$656.72	$656.72	$656.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $518.25 / $863.75 / $5,311.18	Professional		$518.25	$863.75	$5,311.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $103.30 / $147.58 / $808.00	Professional	26	$103.30	$147.58	$808.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $409.86 / $683.10 / $4,858.99	Professional	TC	$409.86	$683.10	$4,858.99
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $275.32 / $283.33 / $389.22	Facility	26	$275.32	$283.33	$389.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $633.00 / $904.56 / $1,396.55	Professional		$633.00	$904.56	$1,396.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $279.77 / $611.17	Professional		$75.84	$279.77	$611.17
United Facility/Professional Professional Modifier Low / Median / High Price $518.25 / $797.93 / $1,138.46	Professional		$518.25	$797.93	$1,138.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.71 / $142.63 / $180.65	Professional	26	$86.71	$142.63	$180.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $409.86 / $631.04 / $921.69	Professional	TC	$409.86	$631.04	$921.69