Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.47 / $350.14 / $947.72	Facility	26	$104.47	$350.14	$947.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.58 / $475.00 / $2,133.98	Professional		$313.58	$475.00	$2,133.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.37 / $255.76 / $606.00	Professional	26	$104.37	$255.76	$606.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $209.20 / $335.00 / $720.62	Professional	TC	$209.20	$335.00	$720.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $712.63 / $712.63 / $712.63	Professional		$712.63	$712.63	$712.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $111.97 / $184.94 / $243.59	Professional	26	$111.97	$184.94	$243.59
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $385.00 / $385.00 / $385.00	Professional	TC	$385.00	$385.00	$385.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $570.96 / $610.29 / $649.11	Professional		$570.96	$610.29	$649.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $191.16 / $204.34 / $216.05	Professional	26	$191.16	$204.34	$216.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $379.81 / $405.98 / $433.04	Professional	TC	$379.81	$405.98	$433.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $603.00 / $603.00 / $603.00	Facility	26	$603.00	$603.00	$603.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.30 / $725.83 / $1,104.95	Professional		$421.30	$725.83	$1,104.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $137.34 / $238.76 / $308.33	Professional	26	$137.34	$238.76	$308.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $283.97 / $484.88 / $788.72	Professional	TC	$283.97	$484.88	$788.72
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,016.96 / $1,016.96 / $1,016.96	Facility	26	$1,016.96	$1,016.96	$1,016.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $517.13 / $831.91 / $6,195.24	Professional		$517.13	$831.91	$6,195.24
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $140.75 / $221.26 / $931.20	Professional	26	$140.75	$221.26	$931.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $349.68 / $582.79 / $5,551.18	Professional	TC	$349.68	$582.79	$5,551.18
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $391.93 / $403.34 / $603.00	Facility	26	$391.93	$403.34	$603.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $618.35 / $785.74 / $1,485.23	Professional		$618.35	$785.74	$1,485.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.14 / $300.37 / $536.16	Professional		$110.14	$300.37	$536.16
United Facility/Professional Professional Modifier Low / Median / High Price $517.13 / $758.45 / $1,056.18	Professional		$517.13	$758.45	$1,056.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $138.94 / $219.18 / $279.08	Professional	26	$138.94	$219.18	$279.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $279.74 / $512.86 / $735.71	Professional	TC	$279.74	$512.86	$735.71