Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.34 / $272.60 / $738.25	Facility	26	$81.34	$272.60	$738.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.94 / $475.00 / $1,789.34	Professional		$263.94	$475.00	$1,789.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.34 / $140.00 / $322.00	Professional	26	$81.34	$140.00	$322.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $131.97 / $131.97 / $894.67	Professional	52	$131.97	$131.97	$894.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $182.60 / $198.63 / $1,284.99	Professional	TC	$182.60	$198.63	$1,284.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $160.71 / $160.71 / $189.18	Professional	26	$160.71	$160.71	$189.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.94 / $514.08 / $546.36	Professional		$480.94	$514.08	$546.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $148.55 / $158.78 / $168.37	Professional	26	$148.55	$158.78	$168.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $332.39 / $355.30 / $377.98	Professional	TC	$332.39	$355.30	$377.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $468.60 / $468.60 / $468.60	Facility	26	$468.60	$468.60	$468.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.15 / $613.35 / $932.89	Professional		$353.15	$613.35	$932.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.28 / $185.85 / $239.50	Professional	26	$107.28	$185.85	$239.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.87 / $423.43 / $694.75	Professional	TC	$245.87	$423.43	$694.75
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $789.76 / $789.76 / $789.76	Facility	26	$789.76	$789.76	$789.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $432.63 / $661.77 / $3,445.62	Professional		$432.63	$661.77	$3,445.62
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $102.45 / $172.44 / $672.00	Professional	26	$102.45	$172.44	$672.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $302.44 / $504.07 / $2,996.90	Professional	TC	$302.44	$504.07	$2,996.90
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $271.58 / $279.49 / $468.60	Facility	26	$271.58	$279.49	$468.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $520.87 / $656.40 / $1,069.00	Professional		$520.87	$656.40	$1,069.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $253.15 / $450.68	Professional		$85.12	$253.15	$450.68
United Facility/Professional Professional Modifier Low / Median / High Price $346.10 / $634.52 / $737.98	Professional		$346.10	$634.52	$737.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.45 / $170.81 / $216.98	Professional	26	$102.45	$170.81	$216.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $241.95 / $401.59 / $559.32	Professional	TC	$241.95	$401.59	$559.32