Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.39 / $121.65 / $441.91	Facility	26	$45.39	$121.65	$441.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.23 / $354.26 / $877.07	Professional		$126.23	$354.26	$877.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.42 / $55.44 / $211.00	Professional	26	$43.42	$55.44	$211.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $201.03 / $293.55	Professional	TC	$79.43	$201.03	$293.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.28 / $101.28 / $101.28	Professional		$101.28	$101.28	$101.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.74 / $62.78 / $105.80	Professional	26	$35.74	$62.78	$105.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.34 / $247.28 / $261.30	Professional		$231.34	$247.28	$261.30
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.23 / $88.95 / $93.95	Professional	26	$83.23	$88.95	$93.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $148.11 / $158.31 / $167.34	Professional	TC	$148.11	$158.31	$167.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $262.50 / $262.50 / $262.50	Facility	26	$262.50	$262.50	$262.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $295.55 / $448.32	Professional		$206.59	$295.55	$448.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.22 / $104.45 / $133.81	Professional	26	$64.22	$104.45	$133.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $142.37 / $189.35 / $289.83	Professional	TC	$142.37	$189.35	$289.83
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $442.24 / $442.24 / $442.24	Facility	26	$442.24	$442.24	$442.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $189.28 / $316.14 / $1,609.32	Professional		$189.28	$316.14	$1,609.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $62.61 / $95.02 / $251.88	Professional	26	$62.61	$95.02	$251.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $125.93 / $221.34 / $1,331.00	Professional	TC	$125.93	$221.34	$1,331.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $163.76 / $168.53 / $262.50	Facility	26	$163.76	$168.53	$262.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $250.54 / $348.54 / $492.00	Professional		$250.54	$348.54	$492.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $114.37 / $217.13	Professional		$47.52	$114.37	$217.13
United Facility/Professional Professional Modifier Low / Median / High Price $189.28 / $298.04 / $364.00	Professional		$189.28	$298.04	$364.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.48 / $96.23 / $121.83	Professional	26	$58.48	$96.23	$121.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $116.24 / $213.11 / $244.29	Professional	TC	$116.24	$213.11	$244.29