Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.51 / $87.68 / $147.79	Facility	26	$23.51	$87.68	$147.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $107.00 / $247.00	Professional		$72.34	$107.00	$247.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.38 / $35.10 / $105.60	Professional	26	$18.38	$35.10	$105.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.37 / $44.17 / $55.19	Professional	26	$25.37	$44.17	$55.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.18 / $144.50 / $149.75	Professional		$135.18	$144.50	$149.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.32 / $46.02 / $47.17	Professional	26	$41.32	$46.02	$47.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $135.78 / $135.78 / $135.78	Facility	26	$135.78	$135.78	$135.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.21 / $166.52 / $228.83	Professional		$85.21	$166.52	$228.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.66 / $53.68 / $69.81	Professional	26	$27.66	$53.68	$69.81
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $110.49 / $110.49 / $110.49	Facility	26	$110.49	$110.49	$110.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.11 / $153.38 / $676.85	Professional		$83.11	$153.38	$676.85
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.31 / $48.25 / $153.55	Professional	26	$23.31	$48.25	$153.55
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $56.89 / $58.54 / $135.78	Facility	26	$56.89	$58.54	$135.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $146.40 / $177.26 / $251.60	Professional		$146.40	$177.26	$251.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $60.75 / $143.22	Professional		$27.80	$60.75	$143.22
United Facility/Professional Professional Modifier Low / Median / High Price $83.11 / $144.34 / $211.50	Professional		$83.11	$144.34	$211.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.92 / $47.92 / $62.18	Professional	26	$28.92	$47.92	$62.18