Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.59 / $185.45 / $502.50	Facility	26	$55.59	$185.45	$502.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.99 / $282.68 / $1,140.00	Professional		$164.99	$282.68	$1,140.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $87.94 / $290.00	Professional	26	$52.78	$87.94	$290.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $109.40 / $217.25 / $795.03	Professional	TC	$109.40	$217.25	$795.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $59.48 / $129.38 / $137.94	Professional	26	$59.48	$129.38	$137.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.57 / $322.36 / $341.52	Professional		$301.57	$322.36	$341.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $101.86 / $108.88 / $115.06	Professional	26	$101.86	$108.88	$115.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $199.69 / $213.46 / $226.46	Professional	TC	$199.69	$213.46	$226.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $321.36 / $321.36 / $321.36	Facility	26	$321.36	$321.36	$321.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.31 / $385.48 / $586.42	Professional		$256.31	$385.48	$586.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.51 / $127.64 / $163.87	Professional	26	$73.51	$127.64	$163.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $182.81 / $255.58 / $391.72	Professional	TC	$182.81	$255.58	$391.72
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $542.79 / $542.79 / $542.79	Facility	26	$542.79	$542.79	$542.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.40 / $399.88 / $1,884.77	Professional		$239.40	$399.88	$1,884.77
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $70.45 / $117.85 / $434.24	Professional	26	$70.45	$117.85	$434.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $162.19 / $275.00 / $1,950.00	Professional	TC	$162.19	$275.00	$1,950.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $186.79 / $192.23 / $321.36	Facility	26	$186.79	$192.23	$321.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $326.61 / $465.30 / $586.42	Professional		$326.61	$465.30	$586.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.22 / $159.29 / $284.33	Professional		$58.22	$159.29	$284.33
United Facility/Professional Professional Modifier Low / Median / High Price $239.40 / $366.93 / $460.38	Professional		$239.40	$366.93	$460.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.45 / $115.81 / $144.38	Professional	26	$70.45	$115.81	$144.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $162.19 / $274.47 / $311.89	Professional	TC	$162.19	$274.47	$311.89