Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $186.21 / $263.03 / $812.83	Facility	26	$186.21	$263.03	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $478.63 / $851.14	Professional		$281.84	$478.63	$851.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $141.25 / $323.59	Professional	26	$83.18	$141.25	$323.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $93.33 / $93.33	Professional	26	$93.33	$93.33	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $512.86 / $549.54	Professional		$489.78	$512.86	$549.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $158.49 / $169.82	Professional	26	$147.91	$158.49	$169.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $467.74 / $467.74 / $467.74	Facility	26	$467.74	$467.74	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $660.69 / $933.25	Professional		$269.15	$660.69	$933.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $177.83 / $245.47	Professional	26	$77.62	$177.83	$245.47
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	26	$794.33	$794.33	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $616.60 / $3,467.37	Professional		$354.81	$616.60	$3,467.37
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $165.96 / $707.95	Professional	26	$104.71	$165.96	$707.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $616.60 / $933.25	Professional		$537.03	$616.60	$933.25
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $162.18 / $186.21 / $281.84	Professional	26	$162.18	$186.21	$281.84
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $467.74 / $467.74 / $467.74	Facility	26	$467.74	$467.74	$467.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $933.25 / $1,096.48	Professional		$616.60	$933.25	$1,096.48
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $181.97 / $186.21 / $281.84	Professional	26	$181.97	$186.21	$281.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $194.98 / $457.09	Professional		$85.11	$194.98	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $575.44 / $870.96	Professional		$323.59	$575.44	$870.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $158.49 / $218.78	Professional	26	$91.20	$158.49	$218.78