Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $186.21 / $446.68	Facility		$45.71	$186.21	$446.68
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $15.85 / $19.50	Facility	26	$10.96	$15.85	$19.50
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $33.88 / $218.78 / $346.74	Facility	TC	$33.88	$218.78	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $43.65 / $107.15	Professional		$25.70	$43.65	$107.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.88 / $36.31	Professional	26	$7.94	$12.88	$36.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $28.18 / $51.29	Professional	TC	$18.20	$28.18	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $54.95	Professional		$19.05	$22.91	$54.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $8.91 / $16.60	Professional	26	$6.61	$8.91	$16.60
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $22.91 / $39.81	Professional	TC	$13.18	$22.91	$39.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $162.18 / $302.00	Facility		$128.82	$162.18	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $53.70 / $57.54	Professional		$50.12	$53.70	$57.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $16.22 / $16.98	Professional	26	$15.49	$16.22	$16.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $38.02 / $39.81	Professional	TC	$35.48	$38.02	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $48.98 / $48.98	Facility	26	$48.98	$48.98	$48.98
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $114.82 / $114.82 / $114.82	Facility	TC	$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $57.54 / $89.13	Professional		$23.44	$57.54	$89.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $18.62 / $24.55	Professional	26	$7.08	$18.62	$24.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $40.74 / $64.57	Professional	TC	$16.22	$40.74	$64.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $263.03 / $398.11	Facility		$41.69	$263.03	$398.11
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $70.79 / $70.79	Facility	26	$70.79	$70.79	$70.79
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $97.72 / $309.03 / $436.52	Facility	TC	$97.72	$309.03	$436.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $48.98 / $72.44	Professional		$30.90	$48.98	$72.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $16.22 / $20.89	Professional	26	$10.72	$16.22	$20.89
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $29.51 / $138.04	Professional	TC	$21.38	$29.51	$138.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $64.57 / $102.33	Professional		$57.54	$64.57	$102.33
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $19.05 / $29.51	Professional	26	$16.98	$19.05	$29.51
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $44.67 / $72.44	Professional	TC	$40.74	$44.67	$72.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $48.98 / $48.98	Facility	26	$48.98	$48.98	$48.98
Midlands Facility/Professional Facility Modifier TC Low / Median / High Price $37.15 / $114.82 / $114.82	Facility	TC	$37.15	$114.82	$114.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $66.07 / $102.33	Professional		$57.54	$66.07	$102.33
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $19.50 / $29.51	Professional	26	$16.98	$19.50	$29.51
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $46.77 / $72.44	Professional	TC	$40.74	$46.77	$72.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,290.87	Facility		$1,949.84	$1,949.84	$2,290.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $21.88 / $51.29	Professional		$9.12	$21.88	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $81.28 / $204.17	Facility		$10.23	$81.28	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.66 / $67.61	Professional		$28.84	$42.66	$67.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $14.13 / $21.88	Professional	26	$9.33	$14.13	$21.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $27.54 / $44.67	Professional	TC	$19.05	$27.54	$44.67