Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $181.97 / $251.19 / $776.25	Facility	26	$181.97	$251.19	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $389.05	Professional		$138.04	$181.97	$389.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $93.33 / $229.09	Professional	26	$79.43	$93.33	$229.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Professional	26	$100.00	$100.00	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $288.40 / $302.00	Professional		$269.15	$288.40	$302.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $165.96 / $173.78	Professional	26	$158.49	$165.96	$173.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $501.19 / $501.19 / $501.19	Facility	26	$501.19	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $363.08 / $524.81	Professional		$128.82	$363.08	$524.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $177.83 / $263.03	Professional	26	$75.86	$177.83	$263.03
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $416.87 / $416.87 / $416.87	Facility	26	$416.87	$416.87	$416.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $323.59 / $3,388.44	Professional		$190.55	$323.59	$3,388.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $151.36 / $630.96	Professional	26	$109.65	$151.36	$630.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $338.84 / $524.81	Professional		$295.12	$338.84	$524.81
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $173.78 / $199.53 / $316.23	Professional	26	$173.78	$199.53	$316.23
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $501.19 / $501.19 / $501.19	Facility	26	$501.19	$501.19	$501.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $1,047.13	Professional		$338.84	$524.81	$1,047.13
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $173.78 / $177.83 / $316.23	Professional	26	$173.78	$177.83	$316.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $128.82 / $275.42	Professional		$64.57	$128.82	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $309.03 / $562.34	Professional		$173.78	$309.03	$562.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $147.91 / $234.42	Professional	26	$95.50	$147.91	$234.42