Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.79 / $116.38 / $196.17	Facility	26	$36.79	$116.38	$196.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $116.39 / $608.00	Professional		$96.60	$116.39	$608.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.96 / $49.77 / $103.75	Professional	26	$29.96	$49.77	$103.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.42 / $70.40 / $80.00	Professional	26	$39.42	$70.40	$80.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.74 / $225.25 / $230.88	Professional		$210.74	$225.25	$230.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.48 / $71.81 / $73.62	Professional	26	$64.48	$71.81	$73.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $211.98 / $211.98 / $211.98	Facility	26	$211.98	$211.98	$211.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.99 / $256.19 / $351.97	Professional		$125.99	$256.19	$351.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.63 / $81.14 / $108.60	Professional	26	$34.63	$81.14	$108.60
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $172.60 / $172.60 / $172.60	Facility	26	$172.60	$172.60	$172.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $220.66 / $810.58	Professional		$111.00	$220.66	$810.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $31.24 / $65.66 / $242.65	Professional	26	$31.24	$65.66	$242.65
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $72.81 / $74.94 / $211.98	Facility	26	$72.81	$74.94	$211.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $234.65 / $291.05	Professional		$133.00	$234.65	$291.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.35 / $110.45 / $197.15	Professional		$38.35	$110.45	$197.15
United Facility/Professional Professional Modifier Low / Median / High Price $112.01 / $218.06 / $277.58	Professional		$112.01	$218.06	$277.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.08 / $73.40 / $97.07	Professional	26	$41.08	$73.40	$97.07