Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.63 / $268.91 / $453.27	Facility	26	$63.63	$268.91	$453.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.83 / $194.27 / $341.10	Professional		$116.83	$194.27	$341.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.65 / $61.36 / $270.00	Professional	26	$49.65	$61.36	$270.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.47 / $110.52 / $402.27	Professional	TC	$55.47	$110.52	$402.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $143.83 / $143.83 / $143.83	Professional	26	$143.83	$143.83	$143.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.50 / $230.36 / $241.84	Professional		$215.50	$230.36	$241.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $113.09 / $120.88 / $123.90	Professional	26	$113.09	$120.88	$123.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $102.43 / $109.48 / $114.81	Professional	TC	$102.43	$109.48	$114.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $356.70 / $356.70 / $356.70	Facility	26	$356.70	$356.70	$356.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.26 / $274.20 / $425.67	Professional		$144.26	$274.20	$425.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.38 / $141.51 / $180.35	Professional	26	$76.38	$141.51	$180.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.31 / $130.03 / $223.95	Professional	TC	$76.31	$130.03	$223.95
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $302.75 / $302.75 / $302.75	Facility	26	$302.75	$302.75	$302.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.79 / $257.61 / $3,098.01	Professional		$154.79	$257.61	$3,098.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $72.47 / $128.52 / $636.41	Professional	26	$72.47	$128.52	$636.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $75.70 / $139.30 / $2,808.09	Professional	TC	$75.70	$139.30	$2,808.09
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $176.19 / $181.32 / $356.70	Facility	26	$176.19	$181.32	$356.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $233.40 / $292.67 / $606.28	Professional		$233.40	$292.67	$606.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.06 / $107.42 / $217.11	Professional		$55.06	$107.42	$217.11
United Facility/Professional Professional Modifier Low / Median / High Price $154.79 / $251.53 / $405.18	Professional		$154.79	$251.53	$405.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.09 / $127.01 / $161.68	Professional	26	$79.09	$127.01	$161.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.70 / $123.01 / $298.97	Professional	TC	$75.70	$123.01	$298.97