Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.19 / $248.09 / $671.90	Facility	26	$74.19	$248.09	$671.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.71 / $475.00 / $2,069.62	Professional		$190.71	$475.00	$2,069.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.19 / $172.94 / $380.00	Professional	26	$74.19	$172.94	$380.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $232.53 / $335.00 / $1,343.35	Professional	TC	$232.53	$335.00	$1,343.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.39 / $131.15 / $172.73	Professional	26	$79.39	$131.15	$172.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $556.47 / $594.79 / $634.90	Professional		$556.47	$594.79	$634.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $136.11 / $145.47 / $153.56	Professional	26	$136.11	$145.47	$153.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $420.36 / $449.31 / $481.33	Professional	TC	$420.36	$449.31	$481.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $429.36 / $429.36 / $429.36	Facility	26	$429.36	$429.36	$429.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.97 / $712.11 / $1,046.00	Professional		$414.97	$712.11	$1,046.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.95 / $170.54 / $219.14	Professional	26	$97.95	$170.54	$219.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $317.01 / $541.55 / $810.60	Professional	TC	$317.01	$541.55	$810.60
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $723.52 / $723.52 / $723.52	Facility	26	$723.52	$723.52	$723.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $510.57 / $682.37 / $3,348.15	Professional		$510.57	$682.37	$3,348.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $92.81 / $157.29 / $586.14	Professional	26	$92.81	$157.29	$586.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $391.50 / $551.02 / $2,941.88	Professional	TC	$391.50	$551.02	$2,941.88
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $249.26 / $256.52 / $429.36	Facility	26	$249.26	$256.52	$429.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $602.65 / $774.52 / $1,069.84	Professional		$602.65	$774.52	$1,069.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.19 / $288.64 / $515.22	Professional		$77.19	$288.64	$515.22
United Facility/Professional Professional Modifier Low / Median / High Price $477.44 / $655.92 / $850.95	Professional		$477.44	$655.92	$850.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.26 / $155.80 / $198.45	Professional	26	$95.26	$155.80	$198.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $313.20 / $522.13 / $652.50	Professional	TC	$313.20	$522.13	$652.50