Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.19 / $248.62 / $673.00	Facility	26	$74.19	$248.62	$673.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.76 / $475.00 / $2,129.19	Professional		$181.76	$475.00	$2,129.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.19 / $172.94 / $404.00	Professional	26	$74.19	$172.94	$404.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $232.84 / $253.09 / $1,667.33	Professional	TC	$232.84	$253.09	$1,667.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.39 / $102.08 / $138.24	Professional	26	$79.39	$102.08	$138.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $557.03 / $595.41 / $635.54	Professional		$557.03	$595.41	$635.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $135.53 / $144.88 / $153.56	Professional	26	$135.53	$144.88	$153.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $421.50 / $450.54 / $481.98	Professional	TC	$421.50	$450.54	$481.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $427.56 / $427.56 / $427.56	Facility	26	$427.56	$427.56	$427.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.91 / $713.53 / $1,046.00	Professional		$416.91	$713.53	$1,046.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.95 / $170.54 / $219.14	Professional	26	$97.95	$170.54	$219.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $318.95 / $542.99 / $816.27	Professional	TC	$318.95	$542.99	$816.27
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $720.40 / $720.40 / $720.40	Facility	26	$720.40	$720.40	$720.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $511.56 / $683.70 / $3,348.15	Professional		$511.56	$683.70	$3,348.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $93.19 / $157.28 / $597.70	Professional	26	$93.19	$157.28	$597.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $392.49 / $554.61 / $2,941.88	Professional	TC	$392.49	$554.61	$2,941.88
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $252.39 / $259.74 / $427.56	Facility	26	$252.39	$259.74	$427.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $603.27 / $773.29 / $1,046.00	Professional		$603.27	$773.29	$1,046.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.12 / $294.55 / $519.04	Professional		$78.12	$294.55	$519.04
United Facility/Professional Professional Modifier Low / Median / High Price $511.56 / $657.19 / $885.60	Professional		$511.56	$657.19	$885.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.19 / $154.79 / $198.45	Professional	26	$93.19	$154.79	$198.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $392.49 / $510.24 / $654.15	Professional	TC	$392.49	$510.24	$654.15