Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.86 / $153.91 / $559.79	Facility	26	$61.86	$153.91	$559.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.97 / $224.40 / $542.72	Professional		$128.97	$224.40	$542.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.60 / $144.36 / $315.94	Professional	26	$60.60	$144.36	$315.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $310.35 / $310.35 / $310.35	Professional	50	$310.35	$310.35	$310.35
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $98.62 / $98.62 / $662.98	Professional	52	$98.62	$98.62	$662.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $135.38 / $335.00 / $987.00	Professional	TC	$135.38	$335.00	$987.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $161.99 / $451.87	Professional		$78.81	$161.99	$451.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.56 / $115.23 / $143.97	Professional	26	$47.56	$115.23	$143.97
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $101.09 / $101.09 / $252.72	Professional	TC	$101.09	$101.09	$252.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.50 / $385.33 / $408.29	Professional		$360.50	$385.33	$408.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $113.38 / $121.20 / $128.05	Professional	26	$113.38	$121.20	$128.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $247.11 / $264.13 / $280.25	Professional	TC	$247.11	$264.13	$280.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $357.66 / $357.66 / $357.66	Facility	26	$357.66	$357.66	$357.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.08 / $460.45 / $711.07	Professional		$262.08	$460.45	$711.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.92 / $142.22 / $182.29	Professional	26	$81.92	$142.22	$182.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $180.16 / $315.89 / $538.16	Professional	TC	$180.16	$315.89	$538.16
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $603.28 / $603.28 / $603.28	Facility	26	$603.28	$603.28	$603.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $278.89 / $519.94 / $2,791.06	Professional		$278.89	$519.94	$2,791.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $79.26 / $129.91 / $525.38	Professional	26	$79.26	$129.91	$525.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $221.74 / $369.57 / $2,451.15	Professional	TC	$221.74	$369.57	$2,451.15
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $215.50 / $221.77 / $357.66	Facility	26	$215.50	$221.77	$357.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $390.43 / $506.71 / $871.00	Professional		$390.43	$506.71	$871.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $192.42 / $338.99	Professional		$65.34	$192.42	$338.99
United Facility/Professional Professional Modifier Low / Median / High Price $320.82 / $426.11 / $571.05	Professional		$320.82	$426.11	$571.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.29 / $128.80 / $165.13	Professional	26	$77.29	$128.80	$165.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.40 / $325.23 / $489.98	Professional	TC	$177.40	$325.23	$489.98