Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.55 / $166.28 / $450.81	Facility	26	$49.55	$166.28	$450.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.46 / $318.48 / $730.00	Professional		$129.46	$318.48	$730.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.55 / $115.61 / $206.00	Professional	26	$49.55	$115.61	$206.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.91 / $173.87 / $531.79	Professional	TC	$79.91	$173.87	$531.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.82 / $70.98 / $115.30	Professional	26	$28.82	$70.98	$115.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.56 / $252.86 / $267.98	Professional		$236.56	$252.86	$267.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $90.73 / $96.98 / $102.56	Professional	26	$90.73	$96.98	$102.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $145.84 / $155.88 / $164.78	Professional	TC	$145.84	$155.88	$164.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $286.20 / $286.20 / $286.20	Facility	26	$286.20	$286.20	$286.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.69 / $302.10 / $458.50	Professional		$164.69	$302.10	$458.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.47 / $113.57 / $146.41	Professional	26	$65.47	$113.57	$146.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $99.22 / $186.38 / $285.29	Professional	TC	$99.22	$186.38	$285.29
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $482.96 / $482.96 / $482.96	Facility	26	$482.96	$482.96	$482.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.31 / $288.20 / $1,593.12	Professional		$177.31	$288.20	$1,593.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $62.97 / $105.05 / $325.83	Professional	26	$62.97	$105.05	$325.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $108.46 / $183.55 / $1,318.35	Professional	TC	$108.46	$183.55	$1,318.35
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $167.20 / $172.07 / $286.20	Facility	26	$167.20	$172.07	$286.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $256.20 / $318.39 / $481.00	Professional		$256.20	$318.39	$481.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.67 / $116.86 / $222.82	Professional		$51.67	$116.86	$222.82
United Facility/Professional Professional Modifier Low / Median / High Price $163.66 / $282.43 / $340.98	Professional		$163.66	$282.43	$340.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.97 / $103.27 / $128.75	Professional	26	$62.97	$103.27	$128.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $100.12 / $176.20 / $235.91	Professional	TC	$100.12	$176.20	$235.91