Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.97 / $287.61 / $626.62	Facility		$44.97	$287.61	$626.62
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.39 / $24.53 / $69.15	Facility	26	$7.39	$24.53	$69.15
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.78 / $131.09 / $305.27	Facility	TC	$26.78	$131.09	$305.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $30.73 / $112.68	Professional		$10.47	$30.73	$112.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.26 / $17.30 / $39.02	Professional	26	$7.26	$17.30	$39.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.41 / $35.38 / $99.86	Professional	TC	$19.41	$35.38	$99.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $63.69 / $63.69	Professional		$50.19	$63.69	$63.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.45 / $13.75 / $17.18	Professional	26	$7.45	$13.75	$17.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.90 / $22.90 / $38.15	Professional	TC	$22.90	$22.90	$38.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.78 / $215.90 / $373.43	Facility		$146.78	$215.90	$373.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.32 / $53.79 / $55.14	Professional		$50.32	$53.79	$55.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $14.52 / $15.26	Professional	26	$13.58	$14.52	$15.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.00 / $39.28 / $40.25	Professional	TC	$36.00	$39.28	$40.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.76 / $158.76 / $326.00	Facility		$158.76	$158.76	$326.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.84 / $42.84 / $42.84	Facility	26	$42.84	$42.84	$42.84
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $115.92 / $115.92 / $115.92	Facility	TC	$115.92	$115.92	$115.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $61.95 / $85.33	Professional		$29.20	$61.95	$85.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $16.91 / $21.33	Professional	26	$9.16	$16.91	$21.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.46 / $44.82 / $64.00	Professional	TC	$21.46	$44.82	$64.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.89 / $83.91 / $391.30	Facility		$40.89	$83.91	$391.30
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 $100.00 / $100.00 / $447.52	Facility	TC	$100.00	$100.00	$447.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.97 / $51.95 / $187.12	Professional		$31.97	$51.95	$187.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.81 / $14.92 / $64.39	Professional	26	$9.81	$14.92	$64.39
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.16 / $36.02 / $161.00	Professional	TC	$22.16	$36.02	$161.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $61.95 / $97.48	Facility		$51.00	$61.95	$97.48
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $25.85 / $42.84	Facility	26	$25.12	$25.85	$42.84
Midlands Facility/Professional Facility Modifier TC Low / Median / High Price $38.15 / $65.75 / $115.92	Facility	TC	$38.15	$65.75	$115.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $56.98 / $77.41	Professional		$47.00	$56.98	$77.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $22.87 / $48.96	Professional		$7.85	$22.87	$48.96
United Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $163.63 / $206.53	Facility		$81.70	$163.63	$206.53
United Facility/Professional Professional Modifier Low / Median / High Price $31.97 / $51.33 / $65.34	Professional		$31.97	$51.33	$65.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.81 / $15.48 / $20.04	Professional	26	$9.81	$15.48	$20.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.16 / $35.59 / $45.31	Professional	TC	$22.16	$35.59	$45.31