Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.34 / $313.99 / $540.29	Facility		$46.34	$313.99	$540.29
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.36 / $13.79 / $27.70	Facility	26	$8.36	$13.79	$27.70
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.84 / $44.36 / $267.64	Facility	TC	$24.84	$44.36	$267.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $38.26 / $143.84	Professional		$8.82	$38.26	$143.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $17.75 / $41.50	Professional	26	$8.36	$17.75	$41.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $135.00 / $135.00 / $135.00	Professional	50	$135.00	$135.00	$135.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.53 / $34.59 / $100.80	Professional	TC	$22.53	$34.59	$100.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.42 / $12.00 / $19.48	Professional	26	$8.42	$12.00	$19.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.78 / $215.90 / $373.43	Facility		$146.78	$215.90	$373.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $65.50 / $67.14	Professional		$61.28	$65.50	$67.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.39 / $16.46 / $17.30	Professional	26	$15.39	$16.46	$17.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.88 / $49.03 / $50.27	Professional	TC	$45.88	$49.03	$50.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.32 / $193.32 / $326.00	Facility		$193.32	$193.32	$326.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.60 / $48.60 / $48.60	Facility	26	$48.60	$48.60	$48.60
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $144.72 / $144.72 / $144.72	Facility	TC	$144.72	$144.72	$144.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.92 / $74.62 / $103.75	Professional		$34.92	$74.62	$103.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.16 / $19.19 / $24.24	Professional	26	$10.16	$19.19	$24.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.51 / $55.43 / $79.51	Professional	TC	$26.51	$55.43	$79.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.20 / $67.03 / $373.80	Facility		$33.20	$67.03	$373.80
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $70.00 / $70.00 / $70.00	Facility	26	$70.00	$70.00	$70.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $122.62 / $122.62 / $364.80	Facility	TC	$122.62	$122.62	$364.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.35 / $62.33 / $226.14	Professional		$38.35	$62.33	$226.14
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.67 / $16.95 / $31.00	Professional	26	$10.67	$16.95	$31.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.89 / $44.99 / $170.86	Professional	TC	$26.89	$44.99	$170.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $62.19 / $74.62 / $113.55	Facility		$62.19	$74.62	$113.55
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $31.69 / $32.61 / $48.60	Facility	26	$31.69	$32.61	$48.60
Midlands Facility/Professional Facility Modifier TC Low / Median / High Price $47.66 / $77.27 / $144.72	Facility	TC	$47.66	$77.27	$144.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.93 / $73.83 / $93.80	Professional		$57.93	$73.83	$93.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $28.03 / $59.96	Professional		$8.74	$28.03	$59.96
United Facility/Professional Professional Modifier Low / Median / High Price $38.35 / $61.59 / $78.40	Professional		$38.35	$61.59	$78.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.67 / $16.95 / $21.81	Professional	26	$10.67	$16.95	$21.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.68 / $44.99 / $56.59	Professional	TC	$27.68	$44.99	$56.59