Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $275.42 / $512.86	Facility		$46.77	$275.42	$512.86
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $16.60 / $63.10	Facility	26	$12.02	$16.60	$63.10
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $34.67 / $104.71 / $281.84	Facility	TC	$34.67	$104.71	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $30.90 / $107.15	Professional		$8.71	$30.90	$107.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $13.80 / $37.15	Professional	26	$7.08	$13.80	$37.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $141.25 / $144.54	Professional	50	$141.25	$141.25	$144.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $33.11 / $89.13	Professional	TC	$18.20	$33.11	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.39 / $53.70	Professional		$17.78	$22.39	$53.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.91 / $15.85	Professional	26	$6.03	$8.91	$15.85
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $26.92 / $38.02	Professional	TC	$13.80	$26.92	$38.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $190.55 / $309.03	Facility		$144.54	$190.55	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $52.48 / $54.95	Professional		$47.86	$52.48	$54.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $14.45 / $15.14	Professional	26	$13.49	$14.45	$15.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $38.02 / $39.81	Professional	TC	$35.48	$38.02	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $323.59	Facility		$158.49	$158.49	$323.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $42.66 / $42.66	Facility	26	$42.66	$42.66	$42.66
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $114.82 / $114.82 / $114.82	Facility	TC	$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $54.95 / $87.10	Professional		$22.91	$54.95	$87.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $15.85 / $21.88	Professional	26	$7.24	$15.85	$21.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $39.81 / $66.07	Professional	TC	$16.22	$39.81	$66.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $199.53 / $398.11	Facility		$40.74	$199.53	$398.11
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 / $446.68	Facility	TC	$100.00	$100.00	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $45.71 / $186.21	Professional		$29.51	$45.71	$186.21
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $14.13 / $23.44	Professional	26	$9.33	$14.13	$23.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.90 / $162.18	Professional	TC	$21.88	$30.90	$162.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $61.66 / $100.00	Professional		$54.95	$61.66	$100.00
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $16.98 / $26.30	Professional	26	$14.79	$16.98	$26.30
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $44.67 / $74.13	Professional	TC	$40.74	$44.67	$74.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $42.66 / $42.66	Facility	26	$42.66	$42.66	$42.66
Midlands Facility/Professional Facility Modifier TC Low / Median / High Price $38.02 / $114.82 / $114.82	Facility	TC	$38.02	$114.82	$114.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $100.00	Professional		$46.77	$54.95	$100.00
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.85 / $26.30	Professional	26	$12.88	$15.85	$26.30
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $34.67 / $74.13	Professional	TC	$33.88	$34.67	$74.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $295.12 / $1,148.15	Facility		$257.04	$295.12	$1,148.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $22.39 / $48.98	Professional		$7.94	$22.39	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $81.28 / $204.17	Facility		$8.71	$81.28	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $39.81 / $64.57	Professional		$28.18	$39.81	$64.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $12.59 / $20.42	Professional	26	$8.51	$12.59	$20.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $27.54 / $45.71	Professional	TC	$19.95	$27.54	$45.71