Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.65 / $296.99 / $801.89	Facility	26	$87.65	$296.99	$801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.90 / $296.52 / $896.55	Professional		$166.90	$296.52	$896.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.76 / $113.94 / $233.68	Professional	26	$81.76	$113.94	$233.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $232.58 / $334.33 / $393.54	Professional		$232.58	$334.33	$393.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $172.85 / $172.85 / $203.46	Professional	26	$172.85	$172.85	$203.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.86 / $332.42 / $340.73	Professional		$307.86	$332.42	$340.73
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $159.16 / $171.86 / $176.16	Professional	26	$159.16	$171.86	$176.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $507.18 / $507.18 / $507.18	Facility	26	$507.18	$507.18	$507.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $397.00 / $518.75	Professional		$153.80	$397.00	$518.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.41 / $200.53 / $257.92	Professional	26	$84.41	$200.53	$257.92
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $213.51 / $404.21 / $404.21	Facility	26	$213.51	$404.21	$404.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $216.97 / $329.10 / $505.55	Professional		$216.97	$329.10	$505.55
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $111.35 / $176.40 / $268.83	Professional	26	$111.35	$176.40	$268.83
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $296.11 / $304.74 / $507.18	Facility	26	$296.11	$304.74	$507.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $336.81 / $378.58 / $469.02	Professional		$336.81	$378.58	$469.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $88.65 / $164.97 / $335.24	Professional		$88.65	$164.97	$335.24
United Facility/Professional Professional Modifier Low / Median / High Price $202.52 / $325.22 / $410.28	Professional		$202.52	$325.22	$410.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $111.13 / $174.87 / $225.57	Professional	26	$111.13	$174.87	$225.57