Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.60 / $310.44 / $523.26	Facility	26	$57.60	$310.44	$523.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.75 / $191.75 / $1,335.95	Professional		$191.75	$191.75	$1,335.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.60 / $59.70 / $359.20	Professional	26	$57.60	$59.70	$359.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.41 / $156.41 / $156.41	Professional		$156.41	$156.41	$156.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.38 / $374.51 / $396.92	Professional		$350.38	$374.51	$396.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $105.54 / $112.81 / $119.23	Professional	26	$105.54	$112.81	$119.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $332.94 / $332.94 / $332.94	Facility	26	$332.94	$332.94	$332.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.85 / $445.03 / $677.01	Professional		$300.85	$445.03	$677.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.06 / $132.44 / $169.68	Professional	26	$76.06	$132.44	$169.68
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $561.91 / $561.91 / $561.91	Facility	26	$561.91	$561.91	$561.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $279.70 / $467.72 / $2,293.84	Professional		$279.70	$467.72	$2,293.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $72.70 / $122.11 / $523.40	Professional	26	$72.70	$122.11	$523.40
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $193.79 / $199.44 / $332.94	Facility	26	$193.79	$199.44	$332.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $379.47 / $548.63 / $706.00	Professional		$379.47	$548.63	$706.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.17 / $184.56 / $326.98	Professional		$60.17	$184.56	$326.98
United Facility/Professional Professional Modifier Low / Median / High Price $279.70 / $432.03 / $617.19	Professional		$279.70	$432.03	$617.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.70 / $119.18 / $150.36	Professional	26	$72.70	$119.18	$150.36