Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.30 / $328.31 / $889.08	Facility	26	$98.30	$328.31	$889.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.90 / $413.62 / $2,559.56	Professional		$250.90	$413.62	$2,559.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.30 / $240.52 / $504.00	Professional	26	$98.30	$240.52	$504.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.29 / $335.00 / $2,020.41	Professional	TC	$281.29	$335.00	$2,020.41
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $135.16 / $196.70 / $228.70	Professional	26	$135.16	$196.70	$228.70
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $204.78 / $204.78 / $204.78	Professional	TC	$204.78	$204.78	$204.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $688.28 / $735.70 / $785.75	Professional		$688.28	$735.70	$785.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $179.97 / $192.38 / $203.47	Professional	26	$179.97	$192.38	$203.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $508.32 / $543.34 / $582.26	Professional	TC	$508.32	$543.34	$582.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $567.72 / $567.72 / $567.72	Facility	26	$567.72	$567.72	$567.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.48 / $882.22 / $1,324.58	Professional		$515.48	$882.22	$1,324.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $129.26 / $224.83 / $289.92	Professional	26	$129.26	$224.83	$289.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $386.22 / $657.40 / $979.30	Professional	TC	$386.22	$657.40	$979.30
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $957.12 / $957.12 / $957.12	Facility	26	$957.12	$957.12	$957.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $632.76 / $928.05 / $5,981.06	Professional		$632.76	$928.05	$5,981.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $123.13 / $208.40 / $894.00	Professional	26	$123.13	$208.40	$894.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $475.65 / $724.28 / $5,438.76	Professional	TC	$475.65	$724.28	$5,438.76
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $328.03 / $337.59 / $567.72	Facility	26	$328.03	$337.59	$567.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $745.41 / $955.18 / $1,436.46	Professional		$745.41	$955.18	$1,436.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.68 / $357.33 / $637.83	Professional		$103.68	$357.33	$637.83
United Facility/Professional Professional Modifier Low / Median / High Price $506.21 / $847.41 / $1,210.58	Professional		$506.21	$847.41	$1,210.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $123.13 / $204.24 / $261.85	Professional	26	$123.13	$204.24	$261.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $380.52 / $645.83 / $847.41	Professional	TC	$380.52	$645.83	$847.41