Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.50 / $298.77 / $503.60	Facility	26	$55.50	$298.77	$503.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.28 / $315.56 / $1,133.71	Professional		$164.28	$315.56	$1,133.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.73 / $125.88 / $290.00	Professional	26	$52.73	$125.88	$290.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $108.78 / $175.18 / $367.62	Professional	TC	$108.78	$175.18	$367.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $59.37 / $106.02 / $129.16	Professional	26	$59.37	$106.02	$129.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.25 / $320.94 / $340.06	Professional		$300.25	$320.94	$340.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $101.67 / $108.68 / $114.88	Professional	26	$101.67	$108.68	$114.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $198.56 / $212.24 / $225.16	Professional	TC	$198.56	$212.24	$225.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $320.76 / $320.76 / $320.76	Facility	26	$320.76	$320.76	$320.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.15 / $383.75 / $583.03	Professional		$255.15	$383.75	$583.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.51 / $126.93 / $163.87	Professional	26	$73.51	$126.93	$163.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $181.64 / $254.10 / $389.45	Professional	TC	$181.64	$254.10	$389.45
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $540.32 / $540.32 / $540.32	Facility	26	$540.32	$540.32	$540.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $238.12 / $397.70 / $1,882.38	Professional		$238.12	$397.70	$1,882.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $70.45 / $117.66 / $434.24	Professional	26	$70.45	$117.66	$434.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $160.91 / $272.82 / $1,906.00	Professional	TC	$160.91	$272.82	$1,906.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $186.29 / $191.71 / $320.76	Facility	26	$186.29	$191.71	$320.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $325.17 / $463.93 / $583.61	Professional		$325.17	$463.93	$583.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.56 / $158.12 / $282.24	Professional		$57.56	$158.12	$282.24
United Facility/Professional Professional Modifier Low / Median / High Price $238.12 / $357.18 / $457.93	Professional		$238.12	$357.18	$457.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.45 / $115.81 / $148.03	Professional	26	$70.45	$115.81	$148.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $148.53 / $251.95 / $309.45	Professional	TC	$148.53	$251.95	$309.45