Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $345.77 / $935.86	Facility	26	$100.00	$345.77	$935.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.24 / $475.00 / $2,809.89	Professional		$330.24	$475.00	$2,809.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $233.04 / $544.00	Professional	26	$100.00	$233.04	$544.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $230.24 / $335.00 / $1,603.52	Professional	TC	$230.24	$335.00	$1,603.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.33 / $747.23 / $747.23	Professional		$245.33	$747.23	$747.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $107.27 / $183.90 / $233.38	Professional	26	$107.27	$183.90	$233.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $236.20 / $236.20 / $236.20	Professional	TC	$236.20	$236.20	$236.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $599.45 / $640.74 / $683.60	Professional		$599.45	$640.74	$683.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $183.09 / $195.69 / $207.00	Professional	26	$183.09	$195.69	$207.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $416.35 / $445.04 / $476.60	Professional	TC	$416.35	$445.04	$476.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $577.50 / $577.50 / $577.50	Facility	26	$577.50	$577.50	$577.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.71 / $764.99 / $1,159.31	Professional		$462.71	$764.99	$1,159.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $132.28 / $229.43 / $295.74	Professional	26	$132.28	$229.43	$295.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $363.49 / $535.55 / $897.15	Professional	TC	$363.49	$535.55	$897.15
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $973.04 / $973.04 / $973.04	Facility	26	$973.04	$973.04	$973.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $547.88 / $887.92 / $6,025.38	Professional		$547.88	$887.92	$6,025.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $129.76 / $211.95 / $891.52	Professional	26	$129.76	$211.95	$891.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $387.57 / $645.95 / $5,457.89	Professional	TC	$387.57	$645.95	$5,457.89
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $342.67 / $352.65 / $577.50	Facility	26	$342.67	$352.65	$577.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $649.19 / $914.38 / $1,449.76	Professional		$649.19	$914.38	$1,449.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.48 / $314.10 / $560.66	Professional		$104.48	$314.10	$560.66
United Facility/Professional Professional Modifier Low / Median / High Price $547.88 / $843.54 / $1,028.64	Professional		$547.88	$843.54	$1,028.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $128.24 / $208.40 / $267.18	Professional	26	$128.24	$208.40	$267.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $314.77 / $568.44 / $875.45	Professional	TC	$314.77	$568.44	$875.45