Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.86 / $332.94 / $535.28	Facility		$59.86	$332.94	$535.28
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.03 / $19.85 / $72.20	Facility	26	$8.03	$19.85	$72.20
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $44.67 / $269.48 / $577.62	Facility	TC	$44.67	$269.48	$577.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $39.28 / $131.46	Professional		$8.23	$39.28	$131.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.90 / $18.17 / $40.74	Professional	26	$7.90	$18.17	$40.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $19.53 / $130.47 / $226.00	Professional	50	$19.53	$130.47	$226.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.43 / $45.32 / $151.54	Professional	TC	$25.43	$45.32	$151.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $66.56 / $83.65	Professional		$28.29	$66.56	$83.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.21 / $14.96 / $18.69	Professional	26	$6.21	$14.96	$18.69
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.49 / $30.73 / $79.52	Professional	TC	$20.49	$30.73	$79.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.78 / $198.92 / $373.43	Facility		$146.78	$198.92	$373.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.06 / $68.50 / $70.20	Professional		$64.06	$68.50	$70.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.77 / $15.80 / $16.60	Professional	26	$14.77	$15.80	$16.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $47.31 / $52.70 / $54.02	Professional	TC	$47.31	$52.70	$54.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.14 / $202.14 / $326.00	Facility		$202.14	$202.14	$326.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.62 / $46.62 / $46.62	Facility	26	$46.62	$46.62	$46.62
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $155.52 / $155.52 / $155.52	Facility	TC	$155.52	$155.52	$155.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $77.40 / $108.60	Professional		$35.22	$77.40	$108.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $18.42 / $23.27	Professional	26	$9.77	$18.42	$23.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.90 / $58.97 / $85.33	Professional	TC	$26.90	$58.97	$85.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.70 / $207.84 / $398.36	Facility		$44.70	$207.84	$398.36
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $100.00 / $100.00	Facility	26	$23.99	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $131.69 / $301.20 / $498.39	Facility	TC	$131.69	$301.20	$498.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.70 / $62.88 / $234.86	Professional		$38.70	$62.88	$234.86
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $16.01 / $24.51	Professional	26	$10.24	$16.01	$24.51
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.46 / $46.25 / $181.68	Professional	TC	$28.46	$46.25	$181.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $58.77 / $77.40 / $120.51	Facility		$58.77	$77.40	$120.51
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $26.69 / $27.46 / $46.62	Facility	26	$26.69	$27.46	$46.62
Midlands Facility/Professional Facility Modifier TC Low / Median / High Price $51.22 / $78.64 / $155.52	Facility	TC	$51.22	$78.64	$155.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $72.48 / $96.54	Professional		$50.00	$72.48	$96.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $33.26 / $63.71	Professional		$8.81	$33.26	$63.71
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 $38.70 / $55.50 / $79.11	Professional		$38.70	$55.50	$79.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $16.63 / $21.33	Professional	26	$10.19	$16.63	$21.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.35 / $45.71 / $58.19	Professional	TC	$26.35	$45.71	$58.19