Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.70 / $207.51 / $753.25	Facility	26	$82.70	$207.51	$753.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.64 / $438.73 / $1,526.69	Professional		$246.64	$438.73	$1,526.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.13 / $116.10 / $331.20	Professional	26	$79.13	$116.10	$331.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $163.94 / $350.77 / $1,025.66	Professional	TC	$163.94	$350.77	$1,025.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.54 / $589.61 / $589.61	Professional		$218.54	$589.61	$589.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.06 / $89.23 / $192.81	Professional	26	$64.06	$89.23	$192.81
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $325.68 / $325.68 / $325.68	Professional	TC	$325.68	$325.68	$325.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.64 / $487.04 / $510.54	Professional		$455.64	$487.04	$510.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $151.24 / $161.66 / $171.19	Professional	26	$151.24	$161.66	$171.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $304.41 / $325.38 / $339.36	Professional	TC	$304.41	$325.38	$339.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $477.06 / $477.06 / $477.06	Facility	26	$477.06	$477.06	$477.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.61 / $600.67 / $914.76	Professional		$330.61	$600.67	$914.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.42 / $189.68 / $244.35	Professional	26	$100.42	$189.68	$244.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $229.93 / $407.10 / $623.79	Professional	TC	$229.93	$407.10	$623.79
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $804.96 / $804.96 / $804.96	Facility	26	$804.96	$804.96	$804.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $368.29 / $579.40 / $3,183.14	Professional		$368.29	$579.40	$3,183.14
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $110.86 / $170.74 / $268.33	Professional	26	$110.86	$170.74	$268.33
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $253.16 / $428.43 / $2,699.58	Professional	TC	$253.16	$428.43	$2,699.58
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $292.61 / $301.14 / $477.06	Facility	26	$292.61	$301.14	$477.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $493.47 / $648.00 / $914.76	Professional		$493.47	$648.00	$914.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.32 / $204.57 / $470.42	Professional		$87.32	$204.57	$470.42
United Facility/Professional Professional Modifier Low / Median / High Price $345.92 / $578.82 / $708.25	Professional		$345.92	$578.82	$708.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $106.27 / $170.66 / $215.29	Professional	26	$106.27	$170.66	$215.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $253.16 / $428.43 / $486.85	Professional	TC	$253.16	$428.43	$486.85