Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $235.60 / $4,203.93	Facility		$33.86	$235.60	$4,203.93
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.02 / $20.32 / $73.30	Facility	26	$8.02	$20.32	$73.30
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.32 / $95.05 / $355.74	Facility	TC	$19.32	$95.05	$355.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.28 / $30.73 / $127.00	Professional		$24.28	$30.73	$127.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $17.28 / $37.00	Professional	26	$7.95	$17.28	$37.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.77 / $37.59 / $96.00	Professional	TC	$16.77	$37.59	$96.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $19.98 / $60.87	Professional		$19.98	$19.98	$60.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.59 / $11.51 / $18.69	Professional	26	$8.59	$11.51	$18.69
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $13.84 / $13.84 / $13.84	Professional	TC	$13.84	$13.84	$13.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.78 / $198.92 / $373.43	Facility		$146.78	$198.92	$373.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.07 / $51.39 / $53.92	Professional		$48.07	$51.39	$53.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.77 / $15.80 / $16.60	Professional	26	$14.77	$15.80	$16.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.32 / $35.61 / $37.34	Professional	TC	$33.32	$35.61	$37.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.68 / $151.68 / $600.00	Facility		$151.68	$151.68	$600.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.62 / $46.62 / $46.62	Facility	26	$46.62	$46.62	$46.62
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $105.06 / $105.06 / $105.06	Facility	TC	$105.06	$105.06	$105.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $59.77 / $80.48	Professional		$28.89	$59.77	$80.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $18.41 / $23.27	Professional	26	$9.77	$18.41	$23.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.82 / $41.98 / $57.21	Professional	TC	$22.82	$41.98	$57.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.08 / $67.06 / $342.77	Facility		$39.08	$67.06	$342.77
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $100.00 / $203.50 / $441.60	Facility	TC	$100.00	$203.50	$441.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $51.38 / $178.47	Professional		$31.62	$51.38	$178.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $16.42 / $77.59	Professional	26	$10.24	$16.42	$77.59
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $34.75 / $163.00	Professional	TC	$21.38	$34.75	$163.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $52.08 / $59.77 / $95.10	Facility		$52.08	$59.77	$95.10
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $28.49 / $29.32 / $46.62	Facility	26	$28.49	$29.32	$46.62
Midlands Facility/Professional Facility Modifier TC Low / Median / High Price $34.60 / $58.45 / $105.06	Facility	TC	$34.60	$58.45	$105.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $59.77 / $75.15	Professional		$48.00	$59.77	$75.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $21.07 / $47.37	Professional		$8.51	$21.07	$47.37
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $51.38 / $64.64	Professional		$31.62	$51.38	$64.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $16.79 / $20.93	Professional	26	$10.24	$16.79	$20.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $35.97 / $43.71	Professional	TC	$21.38	$35.97	$43.71