Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.19 / $295.86 / $498.69	Facility	26	$55.19	$295.86	$498.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.65 / $189.65 / $1,353.08	Professional		$189.65	$189.65	$1,353.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $55.19 / $342.93	Professional	26	$52.78	$55.19	$342.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.46 / $134.46 / $1,010.20	Professional	TC	$134.46	$134.46	$1,010.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $59.03 / $59.03 / $75.90	Professional	26	$59.03	$59.03	$75.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.50 / $370.38 / $392.57	Professional		$346.50	$370.38	$392.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $101.12 / $108.08 / $114.23	Professional	26	$101.12	$108.08	$114.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $245.38 / $262.30 / $278.32	Professional	TC	$245.38	$262.30	$278.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $318.95 / $318.95 / $318.95	Facility	26	$318.95	$318.95	$318.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.30 / $442.33 / $640.00	Professional		$305.30	$442.33	$640.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.12 / $126.93 / $162.90	Professional	26	$73.12	$126.93	$162.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $232.18 / $313.43 / $480.03	Professional	TC	$232.18	$313.43	$480.03
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $537.20 / $537.20 / $537.20	Facility	26	$537.20	$537.20	$537.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $473.50 / $2,082.64	Professional		$282.89	$473.50	$2,082.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $70.45 / $117.00 / $381.41	Professional	26	$70.45	$117.00	$381.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $206.11 / $349.36 / $1,754.89	Professional	TC	$206.11	$349.36	$1,754.89
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $187.71 / $193.17 / $318.95	Facility	26	$187.71	$193.17	$318.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $375.27 / $531.83 / $672.49	Professional		$375.27	$531.83	$672.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.23 / $181.58 / $324.12	Professional		$57.23	$181.58	$324.12
United Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $423.12 / $529.01	Professional		$282.89	$423.12	$529.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.45 / $113.81 / $143.57	Professional	26	$70.45	$113.81	$143.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $206.11 / $309.17 / $396.38	Professional	TC	$206.11	$309.17	$396.38