Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.91 / $194.07 / $526.05	Facility	26	$57.91	$194.07	$526.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.07 / $420.44 / $1,201.00	Professional		$222.07	$420.44	$1,201.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.91 / $134.99 / $238.00	Professional	26	$57.91	$134.99	$238.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $164.16 / $281.72 / $906.00	Professional	TC	$164.16	$281.72	$906.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.28 / $110.62 / $134.77	Professional	26	$62.28	$110.62	$134.77
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $309.45 / $309.45 / $309.45	Professional	TC	$309.45	$309.45	$309.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $410.93 / $439.24 / $450.22	Professional		$410.93	$439.24	$450.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $106.13 / $113.44 / $119.87	Professional	26	$106.13	$113.44	$119.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $304.70 / $325.80 / $333.94	Professional	TC	$304.70	$325.80	$333.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $334.74 / $334.74 / $334.74	Facility	26	$334.74	$334.74	$334.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.33 / $522.15 / $688.43	Professional		$269.33	$522.15	$688.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.44 / $132.96 / $170.65	Professional	26	$76.44	$132.96	$170.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $192.50 / $383.21 / $517.78	Professional	TC	$192.50	$383.21	$517.78
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $565.04 / $565.04 / $565.04	Facility	26	$565.04	$565.04	$565.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $300.17 / $483.89 / $1,846.75	Professional		$300.17	$483.89	$1,846.75
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $73.47 / $122.77 / $444.14	Professional	26	$73.47	$122.77	$444.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $219.34 / $361.12 / $2,104.00	Professional	TC	$219.34	$361.12	$2,104.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $193.80 / $199.45 / $334.74	Facility	26	$193.80	$199.45	$334.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $443.33 / $505.75 / $665.35	Professional		$443.33	$505.75	$665.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.37 / $184.98 / $428.50	Professional		$65.37	$184.98	$428.50
United Facility/Professional Professional Modifier Low / Median / High Price $300.17 / $455.36 / $561.32	Professional		$300.17	$455.36	$561.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.47 / $121.25 / $151.16	Professional	26	$73.47	$121.25	$151.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $202.46 / $343.43 / $421.80	Professional	TC	$202.46	$343.43	$421.80