Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.66 / $437.98 / $738.25	Facility	26	$81.66	$437.98	$738.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.01 / $293.24 / $1,829.02	Professional		$269.01	$293.24	$1,829.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.65 / $105.48 / $240.28	Professional	26	$81.65	$105.48	$240.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.36 / $187.36 / $1,322.63	Professional	TC	$187.36	$187.36	$1,322.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $87.51 / $87.51 / $87.51	Professional	26	$87.51	$87.51	$87.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.69 / $523.44 / $556.85	Professional		$489.69	$523.44	$556.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $149.31 / $159.59 / $169.02	Professional	26	$149.31	$159.59	$169.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $340.41 / $363.86 / $387.83	Professional	TC	$340.41	$363.86	$387.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $471.00 / $471.00 / $471.00	Facility	26	$471.00	$471.00	$471.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.83 / $622.75 / $948.71	Professional		$359.83	$622.75	$948.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.74 / $186.58 / $241.44	Professional	26	$107.74	$186.58	$241.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $252.09 / $435.29 / $695.24	Professional	TC	$252.09	$435.29	$695.24
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $795.36 / $795.36 / $795.36	Facility	26	$795.36	$795.36	$795.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $441.98 / $668.65 / $3,482.54	Professional		$441.98	$668.65	$3,482.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $110.01 / $173.10 / $642.27	Professional	26	$110.01	$173.10	$642.27
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $311.30 / $518.83 / $2,996.90	Professional	TC	$311.30	$518.83	$2,996.90
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $293.86 / $302.42 / $471.00	Facility	26	$293.86	$302.42	$471.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $530.35 / $666.13 / $1,081.00	Professional		$530.35	$666.13	$1,081.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.35 / $258.14 / $459.10	Professional		$86.35	$258.14	$459.10
United Facility/Professional Professional Modifier Low / Median / High Price $441.98 / $593.16 / $747.62	Professional		$441.98	$593.16	$747.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.54 / $169.88 / $217.80	Professional	26	$104.54	$169.88	$217.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $251.69 / $421.72 / $558.55	Professional	TC	$251.69	$421.72	$558.55