Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.05 / $527.46 / $889.08	Facility	26	$98.05	$527.46	$889.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.90 / $475.00 / $2,555.48	Professional		$250.90	$475.00	$2,555.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.99 / $239.93 / $529.00	Professional	26	$97.99	$239.93	$529.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $280.36 / $335.00 / $1,963.66	Professional	TC	$280.36	$335.00	$1,963.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $173.64 / $187.72 / $228.70	Professional	26	$173.64	$187.72	$228.70
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $204.07 / $204.07 / $204.07	Professional	TC	$204.07	$204.07	$204.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $685.44 / $732.65 / $783.21	Professional		$685.44	$732.65	$783.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $179.40 / $191.75 / $202.84	Professional	26	$179.40	$191.75	$202.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $506.04 / $540.89 / $580.35	Professional	TC	$506.04	$540.89	$580.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $565.91 / $565.91 / $565.91	Facility	26	$565.91	$565.91	$565.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $514.32 / $879.38 / $1,321.18	Professional		$514.32	$879.38	$1,321.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.87 / $224.11 / $289.92	Professional	26	$128.87	$224.11	$289.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $385.44 / $655.28 / $975.91	Professional	TC	$385.44	$655.28	$975.91
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $953.92 / $953.92 / $953.92	Facility	26	$953.92	$953.92	$953.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $631.77 / $926.60 / $5,981.06	Professional		$631.77	$926.60	$5,981.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $123.52 / $207.74 / $883.52	Professional	26	$123.52	$207.74	$883.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $474.66 / $721.98 / $5,438.76	Professional	TC	$474.66	$721.98	$5,438.76
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $330.96 / $340.60 / $565.91	Facility	26	$330.96	$340.60	$565.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $742.32 / $952.09 / $1,436.46	Professional		$742.32	$952.09	$1,436.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.68 / $357.61 / $636.23	Professional		$103.68	$357.61	$636.23
United Facility/Professional Professional Modifier Low / Median / High Price $631.77 / $845.50 / $1,265.88	Professional		$631.77	$845.50	$1,265.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $123.52 / $205.29 / $261.85	Professional	26	$123.52	$205.29	$261.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $379.73 / $696.17 / $847.01	Professional	TC	$379.73	$696.17	$847.01