Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.03 / $425.66 / $717.49	Facility	26	$79.03	$425.66	$717.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.99 / $453.82 / $1,753.31	Professional		$262.99	$453.82	$1,753.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.03 / $174.95 / $202.47	Professional	26	$79.03	$174.95	$202.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $183.96 / $183.96 / $1,310.07	Professional	TC	$183.96	$183.96	$1,310.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $84.15 / $84.15 / $84.15	Professional	26	$84.15	$84.15	$84.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $477.27 / $510.16 / $544.38	Professional		$477.27	$510.16	$544.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $143.72 / $153.62 / $163.59	Professional	26	$143.72	$153.62	$163.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $333.54 / $356.51 / $380.80	Professional	TC	$333.54	$356.51	$380.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $453.36 / $453.36 / $453.36	Facility	26	$453.36	$453.36	$453.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.39 / $608.77 / $924.95	Professional		$376.39	$608.77	$924.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.34 / $180.56 / $231.74	Professional	26	$104.34	$180.56	$231.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $300.39 / $428.22 / $688.01	Professional	TC	$300.39	$428.22	$688.01
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $764.32 / $764.32 / $764.32	Facility	26	$764.32	$764.32	$764.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $434.84 / $672.74 / $3,389.77	Professional		$434.84	$672.74	$3,389.77
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $99.54 / $167.54 / $657.14	Professional	26	$99.54	$167.54	$657.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $308.33 / $513.90 / $2,953.83	Professional	TC	$308.33	$513.90	$2,953.83
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $264.81 / $272.52 / $453.36	Facility	26	$264.81	$272.52	$453.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $516.87 / $702.79 / $1,053.00	Professional		$516.87	$702.79	$1,053.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.40 / $250.27 / $446.73	Professional		$81.40	$250.27	$446.73
United Facility/Professional Professional Modifier Low / Median / High Price $434.84 / $637.76 / $1,090.81	Professional		$434.84	$637.76	$1,090.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $99.54 / $165.96 / $210.83	Professional	26	$99.54	$165.96	$210.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $246.67 / $474.74 / $585.34	Professional	TC	$246.67	$474.74	$585.34