Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.34 / $437.98 / $738.25	Facility	26	$81.34	$437.98	$738.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.37 / $475.00 / $1,799.81	Professional		$264.37	$475.00	$1,799.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.34 / $140.00 / $504.35	Professional	26	$81.34	$140.00	$504.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $183.03 / $183.03 / $1,295.46	Professional	TC	$183.03	$183.03	$1,295.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $82.01 / $82.01 / $82.01	Professional	26	$82.01	$82.01	$82.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.14 / $514.29 / $547.25	Professional		$481.14	$514.29	$547.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $148.74 / $158.97 / $168.37	Professional	26	$148.74	$158.97	$168.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $332.39 / $355.30 / $378.87	Professional	TC	$332.39	$355.30	$378.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $469.20 / $469.20 / $469.20	Facility	26	$469.20	$469.20	$469.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.55 / $611.63 / $931.74	Professional		$355.55	$611.63	$931.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.74 / $185.85 / $240.47	Professional	26	$107.74	$185.85	$240.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $247.81 / $424.67 / $690.90	Professional	TC	$247.81	$424.67	$690.90
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $792.16 / $792.16 / $792.16	Facility	26	$792.16	$792.16	$792.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $435.09 / $660.63 / $3,447.72	Professional		$435.09	$660.63	$3,447.72
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $102.45 / $172.44 / $665.40	Professional	26	$102.45	$172.44	$665.40
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $304.89 / $508.17 / $2,996.90	Professional	TC	$304.89	$508.17	$2,996.90
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $273.52 / $281.48 / $469.20	Facility	26	$273.52	$281.48	$469.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $521.08 / $657.32 / $1,070.00	Professional		$521.08	$657.32	$1,070.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.46 / $253.76 / $451.16	Professional		$85.46	$253.76	$451.16
United Facility/Professional Professional Modifier Low / Median / High Price $348.07 / $638.13 / $883.56	Professional		$348.07	$638.13	$883.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.45 / $169.24 / $216.98	Professional	26	$102.45	$169.24	$216.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $304.89 / $469.45 / $558.17	Professional	TC	$304.89	$469.45	$558.17