Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.72 / $462.31 / $779.26	Facility	26	$85.72	$462.31	$779.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.90 / $249.66 / $694.03	Professional		$219.90	$249.66	$694.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.72 / $200.43 / $444.00	Professional	26	$85.72	$200.43	$444.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $163.94 / $168.49 / $1,053.10	Professional	TC	$163.94	$168.49	$1,053.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $118.11 / $170.88 / $246.06	Professional	26	$118.11	$170.88	$246.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.20 / $492.98 / $516.79	Professional		$461.20	$492.98	$516.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $156.78 / $167.58 / $177.44	Professional	26	$156.78	$167.58	$177.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $304.41 / $325.38 / $339.36	Professional	TC	$304.41	$325.38	$339.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $494.58 / $494.58 / $494.58	Facility	26	$494.58	$494.58	$494.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.53 / $606.95 / $923.82	Professional		$398.53	$606.95	$923.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $113.32 / $195.93 / $253.07	Professional	26	$113.32	$195.93	$253.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $285.20 / $406.35 / $705.54	Professional	TC	$285.20	$406.35	$705.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $833.76 / $833.76 / $833.76	Facility	26	$833.76	$833.76	$833.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $431.03 / $662.60 / $2,878.66	Professional		$431.03	$662.60	$2,878.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $109.74 / $181.73 / $561.99	Professional	26	$109.74	$181.73	$561.99
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $312.14 / $484.82 / $2,400.63	Professional	TC	$312.14	$484.82	$2,400.63
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $291.07 / $299.55 / $494.58	Facility	26	$291.07	$299.55	$494.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $499.49 / $654.37 / $916.35	Professional		$499.49	$654.37	$916.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.26 / $238.55 / $537.02	Professional		$90.26	$238.55	$537.02
United Facility/Professional Professional Modifier Low / Median / High Price $431.03 / $660.26 / $806.02	Professional		$431.03	$660.26	$806.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $109.74 / $180.01 / $222.31	Professional	26	$109.74	$180.01	$222.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $288.13 / $468.21 / $600.27	Professional	TC	$288.13	$468.21	$600.27