Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $77.62 / $389.05	Facility		$41.69	$77.62	$389.05
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.49 / $22.91 / $97.72	Facility	26	$13.49	$22.91	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $38.02 / $91.20	Professional		$21.88	$38.02	$91.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $19.50 / $26.92	Professional	26	$9.33	$19.50	$26.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $28.84 / $58.88	Professional	TC	$19.95	$28.84	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $27.54 / $60.26	Professional		$22.91	$27.54	$60.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.96 / $20.42	Professional	26	$7.94	$10.96	$20.42
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $23.44 / $48.98	Professional	TC	$14.79	$23.44	$48.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $181.97 / $371.54	Facility		$144.54	$181.97	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $66.07 / $69.18	Professional		$61.66	$66.07	$69.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $19.50 / $21.38	Professional	26	$18.62	$19.50	$21.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $46.77 / $48.98	Professional	TC	$42.66	$46.77	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $323.59	Facility		$199.53	$199.53	$323.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $58.88 / $58.88	Facility	26	$58.88	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $69.18 / $109.65	Professional		$28.18	$69.18	$109.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $20.89 / $30.90	Professional	26	$9.77	$20.89	$30.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $48.98 / $77.62	Professional	TC	$19.95	$48.98	$77.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $64.57 / $346.74	Facility		$32.36	$64.57	$346.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $53.70 / $234.42	Professional		$35.48	$53.70	$234.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $19.95 / $83.18	Professional	26	$13.18	$19.95	$83.18
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $35.48 / $190.55	Professional	TC	$23.99	$35.48	$190.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $77.62 / $125.89	Professional		$69.18	$77.62	$125.89
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $23.99 / $36.31	Professional	26	$20.42	$23.99	$36.31
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $54.95 / $89.13	Professional	TC	$48.98	$54.95	$89.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $58.88 / $58.88	Facility	26	$58.88	$58.88	$58.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $60.26 / $125.89	Professional		$57.54	$60.26	$125.89
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $20.89 / $36.31	Professional	26	$18.20	$20.89	$36.31
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $38.90 / $89.13	Professional	TC	$38.90	$38.90	$89.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $26.92 / $61.66	Professional		$10.72	$26.92	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $81.28 / $204.17	Facility		$11.75	$81.28	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $50.12 / $81.28	Professional		$34.67	$50.12	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $17.38 / $27.54	Professional	26	$11.48	$17.38	$27.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $33.11 / $54.95	Professional	TC	$22.91	$33.11	$54.95