Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.86 / $205.06 / $555.89	Facility	26	$61.86	$205.06	$555.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.87 / $475.00 / $2,041.90	Professional		$156.87	$475.00	$2,041.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.86 / $143.66 / $338.00	Professional	26	$61.86	$143.66	$338.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $212.61 / $335.00 / $1,347.66	Professional	TC	$212.61	$335.00	$1,347.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.08 / $666.51 / $666.51	Professional		$239.08	$666.51	$666.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.18 / $85.09 / $143.97	Professional	26	$66.18	$85.09	$143.97
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $428.90 / $428.90 / $428.90	Professional	TC	$428.90	$428.90	$428.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $519.47 / $555.25 / $569.13	Professional		$519.47	$555.25	$569.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $113.38 / $121.20 / $126.94	Professional	26	$113.38	$121.20	$126.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $406.08 / $434.06 / $444.91	Professional	TC	$406.08	$434.06	$444.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $357.66 / $357.66 / $357.66	Facility	26	$357.66	$357.66	$357.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.10 / $656.33 / $900.78	Professional		$400.10	$656.33	$900.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.54 / $142.03 / $182.29	Professional	26	$81.54	$142.03	$182.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $297.50 / $515.91 / $740.00	Professional	TC	$297.50	$515.91	$740.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $603.28 / $603.28 / $603.28	Facility	26	$603.28	$603.28	$603.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $492.56 / $659.62 / $2,819.97	Professional		$492.56	$659.62	$2,819.97
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $76.91 / $131.15 / $469.00	Professional	26	$76.91	$131.15	$469.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $393.48 / $533.97 / $2,495.53	Professional	TC	$393.48	$533.97	$2,495.53
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $208.64 / $214.71 / $357.66	Facility	26	$208.64	$214.71	$357.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $558.63 / $656.33 / $922.17	Professional		$558.63	$656.33	$922.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.44 / $261.41 / $498.94	Professional		$64.44	$261.41	$498.94
United Facility/Professional Professional Modifier Low / Median / High Price $477.78 / $629.75 / $820.93	Professional		$477.78	$629.75	$820.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.91 / $129.91 / $165.13	Professional	26	$76.91	$129.91	$165.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $386.13 / $512.52 / $655.80	Professional	TC	$386.13	$512.52	$655.80