Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.59 / $222.99 / $604.36	Facility	26	$66.59	$222.99	$604.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.95 / $615.30 / $1,542.43	Professional		$223.95	$615.30	$1,542.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.59 / $155.15 / $282.00	Professional	26	$66.59	$155.15	$282.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $111.98 / $111.98 / $771.22	Professional	52	$111.98	$111.98	$771.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $157.35 / $335.00 / $1,098.88	Professional	TC	$157.35	$335.00	$1,098.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $506.79 / $506.79 / $506.79	Professional		$506.79	$506.79	$506.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $71.66 / $122.17 / $155.04	Professional	26	$71.66	$122.17	$155.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.51 / $435.60 / $463.57	Professional		$407.51	$435.60	$463.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $122.15 / $130.56 / $137.02	Professional	26	$122.15	$130.56	$137.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $285.38 / $305.04 / $325.70	Professional	TC	$285.38	$305.04	$325.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $385.32 / $385.32 / $385.32	Facility	26	$385.32	$385.32	$385.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.28 / $519.51 / $785.68	Professional		$344.28	$519.51	$785.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.85 / $152.91 / $195.86	Professional	26	$87.85	$152.91	$195.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $276.76 / $366.60 / $628.25	Professional	TC	$276.76	$366.60	$628.25
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $650.32 / $650.32 / $650.32	Facility	26	$650.32	$650.32	$650.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $372.35 / $603.45 / $3,507.01	Professional		$372.35	$603.45	$3,507.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $83.54 / $141.19 / $571.29	Professional	26	$83.54	$141.19	$571.29
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $265.52 / $442.55 / $2,477.29	Professional	TC	$265.52	$442.55	$2,477.29
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $228.12 / $234.77 / $385.32	Facility	26	$228.12	$234.77	$385.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $441.36 / $602.19 / $884.61	Professional		$441.36	$602.19	$884.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.05 / $212.47 / $379.26	Professional		$69.05	$212.47	$379.26
United Facility/Professional Professional Modifier Low / Median / High Price $302.70 / $573.29 / $885.39	Professional		$302.70	$573.29	$885.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.54 / $138.86 / $178.03	Professional	26	$83.54	$138.86	$178.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $212.42 / $408.83 / $511.40	Professional	TC	$212.42	$408.83	$511.40