Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.55 / $205.06 / $555.89	Facility	26	$61.55	$205.06	$555.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.35 / $322.00 / $1,959.85	Professional		$128.35	$322.00	$1,959.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.55 / $143.66 / $335.00	Professional	26	$61.55	$143.66	$335.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $157.04 / $335.00 / $1,084.65	Professional	TC	$157.04	$335.00	$1,084.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.42 / $227.19 / $494.26	Professional		$172.42	$227.19	$494.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.49 / $66.16 / $143.25	Professional	26	$48.49	$66.16	$143.25
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $115.24 / $115.24 / $115.24	Professional	TC	$115.24	$115.24	$115.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.06 / $424.42 / $452.48	Professional		$397.06	$424.42	$452.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $112.25 / $119.98 / $126.30	Professional	26	$112.25	$119.98	$126.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $284.81 / $304.44 / $325.06	Professional	TC	$284.81	$304.44	$325.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $354.06 / $354.06 / $354.06	Facility	26	$354.06	$354.06	$354.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.41 / $504.37 / $766.47	Professional		$334.41	$504.37	$766.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.15 / $140.61 / $181.32	Professional	26	$81.15	$140.61	$181.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $273.18 / $363.76 / $626.32	Professional	TC	$273.18	$363.76	$626.32
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $596.96 / $596.96 / $596.96	Facility	26	$596.96	$596.96	$596.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $360.68 / $579.11 / $2,789.74	Professional		$360.68	$579.11	$2,789.74
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $77.29 / $130.49 / $531.65	Professional	26	$77.29	$130.49	$531.65
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $262.10 / $436.83 / $2,459.04	Professional	TC	$262.10	$436.83	$2,459.04
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $208.84 / $214.93 / $354.06	Facility	26	$208.84	$214.93	$354.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $430.00 / $583.39 / $871.00	Professional		$430.00	$583.39	$871.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.66 / $208.89 / $369.23	Professional		$64.66	$208.89	$369.23
United Facility/Professional Professional Modifier Low / Median / High Price $288.54 / $528.99 / $791.34	Professional		$288.54	$528.99	$791.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.29 / $124.99 / $164.30	Professional	26	$77.29	$124.99	$164.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $209.68 / $384.41 / $506.19	Professional	TC	$209.68	$384.41	$506.19