Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $139.57 / $856.18	Facility		$36.79	$139.57	$856.18
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.01 / $44.37 / $119.57	Facility	26	$13.01	$44.37	$119.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $36.52 / $202.00	Professional		$30.91	$36.52	$202.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.00 / $29.45 / $64.09	Professional	26	$13.00	$29.45	$64.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $23.51 / $30.56	Professional	TC	$17.89	$23.51	$30.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.00 / $25.40 / $29.90	Professional	26	$13.00	$25.40	$29.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.24 / $416.41 / $730.77	Facility		$287.24	$416.41	$730.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.04 / $70.23 / $72.00	Professional		$65.04	$70.23	$72.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.82 / $25.46 / $26.10	Professional	26	$23.82	$25.46	$26.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.18 / $44.75 / $45.88	Professional	TC	$40.18	$44.75	$45.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.00 / $151.00 / $207.24	Facility		$151.00	$151.00	$207.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.12 / $75.12 / $75.12	Facility	26	$75.12	$75.12	$75.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $81.84 / $111.51	Professional		$35.00	$81.84	$111.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.51 / $29.44 / $37.82	Professional	26	$14.51	$29.44	$37.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $53.37 / $73.69	Professional	TC	$21.38	$53.37	$73.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.52 / $66.15 / $514.16	Facility		$36.52	$66.15	$514.16
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $66.92 / $287.00	Professional		$38.64	$66.92	$287.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.07 / $25.97 / $204.67	Professional	26	$17.07	$25.97	$204.67
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.53 / $34.26 / $230.00	Professional	TC	$20.53	$34.26	$230.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $81.84 / $116.74	Facility		$64.00	$81.84	$116.74
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $46.32 / $47.67 / $75.12	Facility	26	$46.32	$47.67	$75.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $76.33 / $102.00	Professional		$59.00	$76.33	$102.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.55 / $44.12 / $70.31	Professional		$23.55	$44.12	$70.31
United Facility/Professional Professional Modifier Low / Median / High Price $41.18 / $66.14 / $83.43	Professional		$41.18	$66.14	$83.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.78 / $26.53 / $34.95	Professional	26	$16.78	$26.53	$34.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.53 / $39.20 / $50.85	Professional	TC	$20.53	$39.20	$50.85