Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $229.09 / $691.83	Facility	26	$162.18	$229.09	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $436.52	Professional		$144.54	$173.78	$436.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $72.44 / $190.55	Professional	26	$64.57	$72.44	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $151.36 / $151.36 / $151.36	Professional	26	$151.36	$151.36	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $316.23 / $338.84	Professional		$302.00	$316.23	$338.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $141.25 / $151.36	Professional	26	$134.90	$141.25	$151.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $426.58 / $426.58 / $426.58	Facility	26	$426.58	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $338.84 / $524.81	Professional		$138.04	$338.84	$524.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $154.88 / $223.87	Professional	26	$61.66	$154.88	$223.87
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $346.74 / $346.74 / $346.74	Facility	26	$346.74	$346.74	$346.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $1,122.02	Professional		$194.98	$269.15	$1,122.02
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $123.03 / $478.63	Professional	26	$87.10	$123.03	$478.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $371.54 / $588.84	Professional		$331.13	$371.54	$588.84
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $165.96 / $257.04	Professional	26	$147.91	$165.96	$257.04
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $426.58 / $426.58 / $426.58	Facility	26	$426.58	$426.58	$426.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $407.38	Professional		$288.40	$288.40	$407.38
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $151.36 / $181.97	Professional	26	$128.82	$151.36	$181.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $467.74	Professional		$263.03	$346.74	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $398.11	Professional		$181.97	$245.47	$398.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $114.82 / $186.21	Professional	26	$87.10	$114.82	$186.21