Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $336.78 / $935.86	Facility	26	$100.00	$336.78	$935.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.48 / $475.00 / $2,725.14	Professional		$331.48	$475.00	$2,725.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.31 / $216.53 / $464.63	Professional	26	$98.31	$216.53	$464.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $231.48 / $335.00 / $1,650.63	Professional	TC	$231.48	$335.00	$1,650.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $246.28 / $261.68 / $750.11	Professional		$246.28	$261.68	$750.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $107.27 / $177.19 / $233.38	Professional	26	$107.27	$177.19	$233.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $424.16 / $424.16 / $424.16	Professional	TC	$424.16	$424.16	$424.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $601.73 / $643.16 / $686.15	Professional		$601.73	$643.16	$686.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $183.09 / $195.69 / $207.00	Professional	26	$183.09	$195.69	$207.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $418.63 / $447.48 / $479.16	Professional	TC	$418.63	$447.48	$479.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $577.50 / $577.50 / $577.50	Facility	26	$577.50	$577.50	$577.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.70 / $766.39 / $1,163.82	Professional		$463.70	$766.39	$1,163.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $132.28 / $228.72 / $295.74	Professional	26	$132.28	$228.72	$295.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $364.49 / $537.66 / $899.07	Professional	TC	$364.49	$537.66	$899.07
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $973.04 / $973.04 / $973.04	Facility	26	$973.04	$973.04	$973.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $548.85 / $891.17 / $6,025.38	Professional		$548.85	$891.17	$6,025.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $129.76 / $210.00 / $891.52	Professional	26	$129.76	$210.00	$891.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $388.54 / $647.57 / $5,457.89	Professional	TC	$388.54	$647.57	$5,457.89
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $343.72 / $353.73 / $577.50	Facility	26	$343.72	$353.73	$577.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $651.66 / $915.19 / $1,449.76	Professional		$651.66	$915.19	$1,449.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $105.63 / $315.29 / $562.79	Professional		$105.63	$315.29	$562.79
United Facility/Professional Professional Modifier Low / Median / High Price $439.08 / $845.05 / $1,273.09	Professional		$439.08	$845.05	$1,273.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $128.24 / $208.40 / $267.18	Professional	26	$128.24	$208.40	$267.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $388.54 / $569.87 / $761.41	Professional	TC	$388.54	$569.87	$761.41