Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.47 / $341.05 / $947.72	Facility	26	$104.47	$341.05	$947.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.33 / $475.00 / $2,070.19	Professional		$312.33	$475.00	$2,070.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.20 / $243.60 / $536.75	Professional	26	$104.20	$243.60	$536.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $207.97 / $335.00 / $1,438.72	Professional	TC	$207.97	$335.00	$1,438.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $254.61 / $709.76 / $709.76	Professional		$254.61	$709.76	$709.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $82.96 / $184.94 / $243.59	Professional	26	$82.96	$184.94	$243.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $568.69 / $607.86 / $646.53	Professional		$568.69	$607.86	$646.53
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 $377.54 / $403.54 / $430.50	Professional	TC	$377.54	$403.54	$430.50
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 $419.36 / $722.85 / $1,100.44	Professional		$419.36	$722.85	$1,100.44
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 $282.02 / $482.04 / $847.99	Professional	TC	$282.02	$482.04	$847.99
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 $515.16 / $858.60 / $6,146.58	Professional		$515.16	$858.60	$6,146.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $135.19 / $219.18 / $921.60	Professional	26	$135.19	$219.18	$921.60
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $347.71 / $579.52 / $5,551.18	Professional	TC	$347.71	$579.52	$5,551.18
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $361.64 / $372.18 / $603.00	Facility	26	$361.64	$372.18	$603.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $615.88 / $782.08 / $1,459.73	Professional		$615.88	$782.08	$1,459.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.14 / $299.18 / $534.04	Professional		$110.14	$299.18	$534.04
United Facility/Professional Professional Modifier Low / Median / High Price $515.51 / $793.17 / $1,048.51	Professional		$515.51	$793.17	$1,048.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $133.96 / $217.68 / $279.08	Professional	26	$133.96	$217.68	$279.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $278.17 / $509.98 / $728.45	Professional	TC	$278.17	$509.98	$728.45