Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $131.83 / $186.21 / $575.44	Facility	26	$131.83	$186.21	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $501.19	Professional		$181.97	$251.19	$501.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $61.66 / $131.83	Professional	26	$51.29	$61.66	$131.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $173.78 / $354.81	Professional	TC	$128.82	$173.78	$354.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $56.23 / $63.10	Professional	26	$45.71	$56.23	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $371.54 / $398.11	Professional		$354.81	$371.54	$398.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $112.20 / $120.23	Professional	26	$104.71	$112.20	$120.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $257.04 / $371.54	Professional	TC	$186.21	$257.04	$371.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $331.13 / $331.13 / $331.13	Facility	26	$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $467.74 / $676.08	Professional		$223.87	$467.74	$676.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $117.49 / $173.78	Professional	26	$54.95	$117.49	$173.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $331.13 / $512.86	Professional	TC	$162.18	$331.13	$512.86
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $562.34 / $562.34 / $562.34	Facility	26	$562.34	$562.34	$562.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $446.68 / $2,290.87	Professional		$257.04	$446.68	$2,290.87
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $117.49 / $524.81	Professional	26	$72.44	$117.49	$524.81
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $338.84 / $2,398.83	Professional	TC	$181.97	$338.84	$2,398.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $436.52 / $676.08	Professional		$389.05	$436.52	$676.08
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $131.83 / $199.53	Professional	26	$114.82	$131.83	$199.53
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $309.03 / $478.63	Professional	TC	$269.15	$309.03	$478.63
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $331.13 / $331.13 / $331.13	Facility	26	$331.13	$331.13	$331.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $724.44	Professional		$436.52	$676.08	$724.44
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $123.03 / $199.53	Professional	26	$117.49	$123.03	$199.53
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $478.63 / $588.84	Professional	TC	$309.03	$478.63	$588.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $141.25 / $331.13	Professional		$60.26	$141.25	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $407.38 / $616.60	Professional		$234.42	$407.38	$616.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $109.65 / $151.36	Professional	26	$64.57	$109.65	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $288.40 / $398.11	Professional	TC	$173.78	$288.40	$398.11