Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.05 / $328.31 / $889.08	Facility	26	$98.05	$328.31	$889.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.09 / $330.40 / $2,264.53	Professional		$191.09	$330.40	$2,264.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.99 / $239.93 / $527.00	Professional	26	$97.99	$239.93	$527.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $232.41 / $252.75 / $1,658.95	Professional	TC	$232.41	$252.75	$1,658.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $59.93 / $183.03 / $228.70	Professional	26	$59.93	$183.03	$228.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $599.75 / $641.08 / $683.92	Professional		$599.75	$641.08	$683.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $178.81 / $191.13 / $202.84	Professional	26	$178.81	$191.13	$202.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $420.92 / $449.92 / $481.08	Professional	TC	$420.92	$449.92	$481.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $564.05 / $564.05 / $564.05	Facility	26	$564.05	$564.05	$564.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.89 / $764.64 / $1,160.43	Professional		$459.89	$764.64	$1,160.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.87 / $224.14 / $289.92	Professional	26	$128.87	$224.14	$289.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $365.82 / $540.51 / $902.45	Professional	TC	$365.82	$540.51	$902.45
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $950.80 / $950.80 / $950.80	Facility	26	$950.80	$950.80	$950.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $547.14 / $885.99 / $5,978.92	Professional		$547.14	$885.99	$5,978.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $123.51 / $207.74 / $733.09	Professional	26	$123.51	$207.74	$733.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $390.52 / $650.87 / $5,438.76	Professional	TC	$390.52	$650.87	$5,438.76
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $326.94 / $336.47 / $564.05	Facility	26	$326.94	$336.47	$564.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $649.54 / $912.11 / $1,437.58	Professional		$649.54	$912.11	$1,437.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.68 / $315.22 / $560.97	Professional		$103.68	$315.22	$560.97
United Facility/Professional Professional Modifier Low / Median / High Price $437.71 / $802.47 / $1,265.70	Professional		$437.71	$802.47	$1,265.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $125.29 / $207.74 / $261.02	Professional	26	$125.29	$207.74	$261.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $390.52 / $512.46 / $762.48	Professional	TC	$390.52	$512.46	$762.48