Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.85 / $176.71 / $478.69	Facility	26	$52.85	$176.71	$478.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.01 / $314.75 / $1,230.00	Professional		$217.01	$314.75	$1,230.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.85 / $123.50 / $217.00	Professional	26	$52.85	$123.50	$217.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $164.16 / $246.13 / $452.22	Professional	TC	$164.16	$246.13	$452.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $502.89 / $502.89 / $502.89	Professional		$502.89	$502.89	$502.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.79 / $100.94 / $122.98	Professional	26	$56.79	$100.94	$122.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.58 / $429.25 / $439.99	Professional		$401.58	$429.25	$439.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.81 / $103.48 / $109.40	Professional	26	$96.81	$103.48	$109.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $304.80 / $325.80 / $333.94	Professional	TC	$304.80	$325.80	$333.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $305.33 / $305.33 / $305.33	Facility	26	$305.33	$305.33	$305.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.47 / $513.25 / $677.77	Professional		$264.47	$513.25	$677.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.13 / $121.17 / $156.11	Professional	26	$70.13	$121.17	$156.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $192.50 / $384.75 / $521.66	Professional	TC	$192.50	$384.75	$521.66
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $514.88 / $514.88 / $514.88	Facility	26	$514.88	$514.88	$514.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $293.61 / $475.16 / $1,817.09	Professional		$293.61	$475.16	$1,817.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $66.73 / $112.05 / $364.90	Professional	26	$66.73	$112.05	$364.90
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $220.19 / $363.11 / $1,526.12	Professional	TC	$220.19	$363.11	$1,526.12
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $177.91 / $183.09 / $305.33	Facility	26	$177.91	$183.09	$305.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $433.20 / $493.96 / $653.34	Professional		$433.20	$493.96	$653.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.74 / $194.05 / $374.73	Professional		$54.74	$194.05	$374.73
United Facility/Professional Professional Modifier Low / Median / High Price $293.61 / $447.14 / $549.04	Professional		$293.61	$447.14	$549.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.73 / $110.99 / $137.28	Professional	26	$66.73	$110.99	$137.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $220.19 / $330.29 / $423.45	Professional	TC	$220.19	$330.29	$423.45