Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $245.47 / $489.78	Facility		$45.71	$245.47	$489.78
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $16.98 / $66.07	Facility	26	$10.47	$16.98	$66.07
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.51 / $63.10 / $416.87	Facility	TC	$29.51	$63.10	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $38.02 / $100.00	Professional		$21.88	$38.02	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $12.88 / $35.48	Professional	26	$7.76	$12.88	$35.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $23.99 / $54.95	Professional	TC	$15.85	$23.99	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.38 / $50.12	Professional		$17.78	$21.38	$50.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $8.91 / $16.22	Professional	26	$6.31	$8.91	$16.22
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $20.89 / $38.02	Professional	TC	$12.59	$20.89	$38.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $194.98 / $371.54	Facility		$144.54	$194.98	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $51.29 / $53.70	Professional		$47.86	$51.29	$53.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $15.49 / $16.60	Professional	26	$14.79	$15.49	$16.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $35.48 / $37.15	Professional	TC	$33.11	$35.48	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $602.56	Facility		$151.36	$151.36	$602.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $46.77 / $46.77	Facility	26	$46.77	$46.77	$46.77
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $104.71 / $104.71 / $104.71	Facility	TC	$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $52.48 / $83.18	Professional		$23.44	$52.48	$83.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $16.98 / $23.99	Professional	26	$7.59	$16.98	$23.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $36.31 / $58.88	Professional	TC	$16.98	$36.31	$58.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $158.49 / $363.08	Facility		$35.48	$158.49	$363.08
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 / $288.40 / $446.68	Facility	TC	$100.00	$288.40	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $45.71 / $177.83	Professional		$28.84	$45.71	$177.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $15.85 / $25.12	Professional	26	$10.23	$15.85	$25.12
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $29.51 / $162.18	Professional	TC	$20.42	$29.51	$162.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $60.26 / $95.50	Professional		$52.48	$60.26	$95.50
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $18.62 / $28.18	Professional	26	$16.22	$18.62	$28.18
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $41.69 / $66.07	Professional	TC	$36.31	$41.69	$66.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $46.77 / $46.77	Facility	26	$46.77	$46.77	$46.77
Midlands Facility/Professional Facility Modifier TC Low / Median / High Price $34.67 / $104.71 / $104.71	Facility	TC	$34.67	$104.71	$104.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $52.48 / $95.50	Professional		$47.86	$52.48	$95.50
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $16.98 / $28.18	Professional	26	$14.45	$16.98	$28.18
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $36.31 / $66.07	Professional	TC	$33.88	$36.31	$66.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $20.42 / $47.86	Professional		$8.71	$20.42	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $109.65 / $275.42	Facility		$9.33	$109.65	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $41.69 / $61.66	Professional		$28.18	$41.69	$61.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $13.49 / $21.38	Professional	26	$8.91	$13.49	$21.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $28.18 / $44.67	Professional	TC	$19.05	$28.18	$44.67