Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.05 / $328.31 / $889.08	Facility	26	$98.05	$328.31	$889.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.14 / $401.87 / $2,713.27	Professional		$228.14	$401.87	$2,713.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.99 / $212.72 / $540.00	Professional	26	$97.99	$212.72	$540.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $303.88 / $330.94 / $2,121.39	Professional	TC	$303.88	$330.94	$2,121.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $105.12 / $187.72 / $228.70	Professional	26	$105.12	$187.72	$228.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $728.26 / $778.44 / $831.87	Professional		$728.26	$778.44	$831.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $179.40 / $191.75 / $202.84	Professional	26	$179.40	$191.75	$202.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $548.87 / $586.66 / $629.02	Professional	TC	$548.87	$586.66	$629.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $565.91 / $565.91 / $565.91	Facility	26	$565.91	$565.91	$565.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.03 / $933.22 / $1,407.25	Professional		$545.03	$933.22	$1,407.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.87 / $224.83 / $289.92	Professional	26	$128.87	$224.83	$289.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $402.50 / $708.39 / $1,061.94	Professional	TC	$402.50	$708.39	$1,061.94
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $953.92 / $953.92 / $953.92	Facility	26	$953.92	$953.92	$953.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $669.81 / $982.39 / $5,981.06	Professional		$669.81	$982.39	$5,981.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $123.51 / $207.74 / $672.78	Professional	26	$123.51	$207.74	$672.78
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $512.70 / $762.86 / $5,438.76	Professional	TC	$512.70	$762.86	$5,438.76
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $332.51 / $342.20 / $565.91	Facility	26	$332.51	$342.20	$565.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $788.71 / $1,010.92 / $1,437.58	Professional		$788.71	$1,010.92	$1,437.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.68 / $379.28 / $677.01	Professional		$103.68	$379.28	$677.01
United Facility/Professional Professional Modifier Low / Median / High Price $535.85 / $886.37 / $1,266.25	Professional		$535.85	$886.37	$1,266.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $125.69 / $207.74 / $261.85	Professional	26	$125.69	$207.74	$261.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $410.16 / $695.77 / $876.60	Professional	TC	$410.16	$695.77	$876.60