Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.20 / $282.64 / $551.76	Facility		$66.20	$282.64	$551.76
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.40 / $21.90 / $79.15	Facility	26	$10.40	$21.90	$79.15
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $48.13 / $186.34 / $647.28	Facility	TC	$48.13	$186.34	$647.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $43.92 / $143.12	Professional		$8.90	$43.92	$143.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.56 / $19.42 / $44.66	Professional	26	$8.56	$19.42	$44.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $17.34 / $103.62 / $155.00	Professional	50	$17.34	$103.62	$155.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $18.44 / $18.92 / $113.15	Professional	52	$18.44	$18.92	$113.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.60 / $50.29 / $135.00	Professional	TC	$28.60	$50.29	$135.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.02 / $40.63 / $88.38	Professional		$29.02	$40.63	$88.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.69 / $15.92 / $20.20	Professional	26	$6.69	$15.92	$20.20
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.38 / $33.58 / $57.92	Professional	TC	$22.38	$33.58	$57.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.78 / $198.92 / $373.43	Facility		$146.78	$198.92	$373.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.40 / $75.26 / $77.14	Professional		$70.40	$75.26	$77.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.96 / $17.05 / $17.94	Professional	26	$15.96	$17.05	$17.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.86 / $58.20 / $59.65	Professional	TC	$53.86	$58.20	$59.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.12 / $222.12 / $326.00	Facility		$222.12	$222.12	$326.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.40 / $50.40 / $50.40	Facility	26	$50.40	$50.40	$50.40
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $171.72 / $171.72 / $171.72	Facility	TC	$171.72	$171.72	$171.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.49 / $86.66 / $118.29	Professional		$39.49	$86.66	$118.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.54 / $19.88 / $25.21	Professional	26	$10.54	$19.88	$25.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.40 / $66.77 / $93.08	Professional	TC	$30.40	$66.77	$93.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.90 / $233.16 / $478.55	Facility		$48.90	$233.16	$478.55
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $24.94 / $100.00 / $100.00	Facility	26	$24.94	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $143.82 / $356.52 / $460.80	Facility	TC	$143.82	$356.52	$460.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.46 / $70.34 / $263.06	Professional		$43.46	$70.34	$263.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.06 / $17.30 / $27.19	Professional	26	$11.06	$17.30	$27.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $32.40 / $52.65 / $205.55	Professional	TC	$32.40	$52.65	$205.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $65.40 / $86.66 / $122.33	Facility		$65.40	$86.66	$122.33
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $31.09 / $31.99 / $50.40	Facility	26	$31.09	$31.99	$50.40
Midlands Facility/Professional Facility Modifier TC Low / Median / High Price $55.96 / $90.34 / $171.72	Facility	TC	$55.96	$90.34	$171.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $79.62 / $103.34	Professional		$55.00	$79.62	$103.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $36.24 / $70.84	Professional		$9.44	$36.24	$70.84
United Facility/Professional Professional Modifier Low / Median / High Price $36.99 / $69.80 / $88.85	Professional		$36.99	$69.80	$88.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.06 / $17.46 / $22.62	Professional	26	$11.06	$17.46	$22.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.96 / $52.03 / $66.23	Professional	TC	$29.96	$52.03	$66.23