Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.59 / $356.89 / $601.55	Facility	26	$66.59	$356.89	$601.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.78 / $362.06 / $1,833.82	Professional		$191.78	$362.06	$1,833.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.80 / $150.66 / $322.00	Professional	26	$66.80	$150.66	$322.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.18 / $178.38 / $865.83	Professional	TC	$125.18	$178.38	$865.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.90 / $142.90 / $155.79	Professional		$142.90	$142.90	$155.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.89 / $95.01 / $154.33	Professional	26	$50.89	$95.01	$154.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.69 / $372.72 / $396.98	Professional		$348.69	$372.72	$396.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $121.58 / $129.96 / $136.38	Professional	26	$121.58	$129.96	$136.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $227.13 / $242.78 / $259.12	Professional	TC	$227.13	$242.78	$259.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $383.52 / $383.52 / $383.52	Facility	26	$383.52	$383.52	$383.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.17 / $443.13 / $673.61	Professional		$304.17	$443.13	$673.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.85 / $152.22 / $194.89	Professional	26	$87.85	$152.22	$194.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $217.93 / $289.18 / $552.11	Professional	TC	$217.93	$289.18	$552.11
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $647.12 / $647.12 / $647.12	Facility	26	$647.12	$647.12	$647.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.10 / $526.83 / $2,831.41	Professional		$316.10	$526.83	$2,831.41
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $83.92 / $141.19 / $579.54	Professional	26	$83.92	$141.19	$579.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $209.28 / $348.80 / $2,465.48	Professional	TC	$209.28	$348.80	$2,465.48
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $224.32 / $230.86 / $383.52	Facility	26	$224.32	$230.86	$383.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $377.64 / $544.38 / $872.00	Professional		$377.64	$544.38	$872.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $182.95 / $326.57	Professional		$69.06	$182.95	$326.57
United Facility/Professional Professional Modifier Low / Median / High Price $316.10 / $463.61 / $761.82	Professional		$316.10	$463.61	$761.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.92 / $138.86 / $178.03	Professional	26	$83.92	$138.86	$178.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $208.42 / $322.22 / $469.55	Professional	TC	$208.42	$322.22	$469.55