Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $57.54 / $338.84	Facility		$51.29	$57.54	$338.84
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $17.78 / $75.86	Facility	26	$10.47	$17.78	$75.86
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $37.15 / $77.62 / $218.78	Facility	TC	$37.15	$77.62	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $51.29 / $125.89	Professional		$27.54	$51.29	$125.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $14.45 / $21.38	Professional	26	$7.41	$14.45	$21.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $28.84 / $56.23	Professional	TC	$19.95	$28.84	$56.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $22.91 / $30.20	Professional		$20.89	$22.91	$30.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $9.55 / $18.62	Professional	26	$6.46	$9.55	$18.62
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $24.55 / $44.67	Professional	TC	$15.85	$24.55	$44.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $181.97 / $371.54	Facility		$144.54	$181.97	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $58.88 / $61.66	Professional		$53.70	$58.88	$61.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $15.49 / $16.60	Professional	26	$14.79	$15.49	$16.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $42.66 / $45.71	Professional	TC	$39.81	$42.66	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $323.59	Facility		$177.83	$177.83	$323.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $46.77 / $46.77	Facility	26	$46.77	$46.77	$46.77
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $131.83 / $131.83 / $131.83	Facility	TC	$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $60.26 / $97.72	Professional		$25.12	$60.26	$97.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $16.98 / $23.99	Professional	26	$7.59	$16.98	$23.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $44.67 / $74.13	Professional	TC	$18.62	$44.67	$74.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $58.88 / $346.74	Facility		$28.18	$58.88	$346.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $109.65 / $109.65 / $446.68	Facility	TC	$109.65	$109.65	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $47.86 / $208.93	Professional		$31.62	$47.86	$208.93
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $15.85 / $83.18	Professional	26	$10.23	$15.85	$83.18
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $33.88 / $177.83	Professional	TC	$23.99	$33.88	$177.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $69.18 / $112.20	Professional		$61.66	$69.18	$112.20
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $18.62 / $28.18	Professional	26	$16.22	$18.62	$28.18
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $50.12 / $83.18	Professional	TC	$45.71	$50.12	$83.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $46.77 / $46.77	Facility	26	$46.77	$46.77	$46.77
Midlands Facility/Professional Facility Modifier TC Low / Median / High Price $42.66 / $131.83 / $131.83	Facility	TC	$42.66	$131.83	$131.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $54.95 / $112.20	Professional		$52.48	$54.95	$112.20
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $16.98 / $28.18	Professional	26	$14.13	$16.98	$28.18
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $38.02 / $83.18	Professional	TC	$38.02	$38.02	$83.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $288.40	Facility		$245.47	$245.47	$288.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $24.55 / $54.95	Professional		$8.71	$24.55	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $81.28 / $204.17	Facility		$9.33	$81.28	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $43.65 / $72.44	Professional		$31.62	$43.65	$72.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $13.49 / $21.38	Professional	26	$8.91	$13.49	$21.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.90 / $51.29	Professional	TC	$21.88	$30.90	$51.29