Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.91 / $311.08 / $524.37	Facility	26	$57.91	$311.08	$524.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.36 / $192.36 / $1,329.67	Professional		$192.36	$192.36	$1,329.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.56 / $57.91 / $357.11	Professional	26	$54.56	$57.91	$357.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.46 / $134.46 / $972.61	Professional	TC	$134.46	$134.46	$972.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.62 / $61.62 / $110.04	Professional	26	$61.62	$61.62	$110.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.95 / $375.13 / $398.19	Professional		$350.95	$375.13	$398.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $105.54 / $112.81 / $119.87	Professional	26	$105.54	$112.81	$119.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $245.38 / $262.30 / $278.32	Professional	TC	$245.38	$262.30	$278.32
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 $300.14 / $445.78 / $678.16	Professional		$300.14	$445.78	$678.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.52 / $132.43 / $169.68	Professional	26	$76.52	$132.43	$169.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.63 / $311.20 / $476.63	Professional	TC	$223.63	$311.20	$476.63
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 $278.42 / $465.56 / $2,293.84	Professional		$278.42	$465.56	$2,293.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $73.09 / $122.77 / $523.40	Professional	26	$73.09	$122.77	$523.40
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $198.44 / $336.36 / $2,412.00	Professional	TC	$198.44	$336.36	$2,412.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $196.33 / $202.05 / $332.94	Facility	26	$196.33	$202.05	$332.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $380.09 / $546.13 / $709.00	Professional		$380.09	$546.13	$709.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.17 / $185.17 / $327.51	Professional		$60.17	$185.17	$327.51
United Facility/Professional Professional Modifier Low / Median / High Price $257.00 / $432.79 / $535.42	Professional		$257.00	$432.79	$535.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.09 / $121.61 / $149.56	Professional	26	$73.09	$121.61	$149.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $198.44 / $314.04 / $381.63	Professional	TC	$198.44	$314.04	$381.63