Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.37 / $198.56 / $720.54	Facility	26	$79.37	$198.56	$720.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.24 / $235.13 / $951.00	Professional		$178.24	$235.13	$951.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.76 / $95.96 / $293.83	Professional	26	$75.76	$95.96	$293.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $92.74 / $143.87 / $564.00	Professional	TC	$92.74	$143.87	$564.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.63 / $410.57 / $410.57	Professional		$146.63	$410.57	$410.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.53 / $140.16 / $184.60	Professional	26	$62.53	$140.16	$184.60
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $74.19 / $74.19 / $191.97	Professional	TC	$74.19	$74.19	$191.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.35 / $348.83 / $368.95	Professional		$326.35	$348.83	$368.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $144.91 / $154.90 / $164.30	Professional	26	$144.91	$154.90	$164.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $181.44 / $193.94 / $204.61	Professional	TC	$181.44	$193.94	$204.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $457.14 / $457.14 / $457.14	Facility	26	$457.14	$457.14	$457.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.09 / $408.18 / $543.96	Professional		$228.09	$408.18	$543.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.77 / $181.32 / $233.68	Professional	26	$104.77	$181.32	$233.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.32 / $226.87 / $310.27	Professional	TC	$123.32	$226.87	$310.27
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $281.20 / $770.72 / $770.72	Facility	26	$281.20	$770.72	$770.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $244.57 / $374.57 / $1,217.23	Professional		$244.57	$374.57	$1,217.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $101.63 / $161.12 / $243.71	Professional	26	$101.63	$161.12	$243.71
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $134.47 / $209.60 / $1,308.00	Professional	TC	$134.47	$209.60	$1,308.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $261.81 / $269.43 / $457.14	Facility	26	$261.81	$269.43	$457.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $339.46 / $408.18 / $523.66	Professional		$339.46	$408.18	$523.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $83.09 / $167.95 / $309.54	Professional		$83.09	$167.95	$309.54
United Facility/Professional Professional Modifier Low / Median / High Price $225.95 / $366.86 / $470.33	Professional		$225.95	$366.86	$470.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $101.63 / $165.15 / $205.88	Professional	26	$101.63	$165.15	$205.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $124.13 / $207.62 / $258.60	Professional	TC	$124.13	$207.62	$258.60