Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.16 / $141.36 / $514.11	Facility	26	$53.16	$141.36	$514.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.05 / $325.05 / $1,053.00	Professional		$122.05	$325.05	$1,053.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.51 / $59.61 / $217.21	Professional	26	$50.51	$59.61	$217.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.39 / $178.49 / $376.30	Professional	TC	$54.39	$178.49	$376.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.96 / $129.55 / $371.36	Professional		$60.96	$129.55	$371.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.86 / $95.43 / $123.71	Professional	26	$56.86	$95.43	$123.71
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $56.92 / $89.49 / $210.39	Professional	TC	$56.92	$89.49	$210.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.50 / $316.94 / $335.22	Professional		$296.50	$316.94	$335.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.37 / $104.08 / $110.04	Professional	26	$97.37	$104.08	$110.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $199.13 / $212.86 / $225.16	Professional	TC	$199.13	$212.86	$225.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $307.14 / $307.14 / $307.14	Facility	26	$307.14	$307.14	$307.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.02 / $378.30 / $575.12	Professional		$221.02	$378.30	$575.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.76 / $121.17 / $157.08	Professional	26	$74.76	$121.17	$157.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.35 / $254.10 / $389.45	Professional	TC	$154.35	$254.10	$389.45
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $518.00 / $518.00 / $518.00	Facility	26	$518.00	$518.00	$518.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $238.63 / $365.60 / $1,890.30	Professional		$238.63	$365.60	$1,890.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $72.92 / $110.06 / $174.01	Professional	26	$72.92	$110.06	$174.01
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $159.63 / $270.14 / $1,576.92	Professional	TC	$159.63	$270.14	$1,576.92
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $191.21 / $196.78 / $307.14	Facility	26	$191.21	$196.78	$307.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $321.11 / $440.45 / $582.00	Professional		$321.11	$440.45	$582.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.21 / $155.88 / $278.25	Professional		$56.21	$155.88	$278.25
United Facility/Professional Professional Modifier Low / Median / High Price $238.63 / $365.60 / $458.90	Professional		$238.63	$365.60	$458.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.31 / $115.65 / $149.83	Professional	26	$71.31	$115.65	$149.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $159.63 / $270.14 / $306.97	Professional	TC	$159.63	$270.14	$306.97