Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.59 / $174.71 / $473.18	Facility	26	$66.59	$174.71	$473.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.19 / $163.03 / $727.00	Professional		$133.19	$163.03	$727.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.36 / $122.02 / $274.33	Professional	26	$58.36	$122.02	$274.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.61 / $66.61 / $126.66	Professional	TC	$66.61	$66.61	$126.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $278.64 / $278.64 / $278.64	Professional		$278.64	$278.64	$278.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $71.17 / $117.55 / $154.82	Professional	26	$71.17	$117.55	$154.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.09 / $258.77 / $265.25	Professional		$242.09	$258.77	$265.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $121.39 / $129.75 / $133.00	Professional	26	$121.39	$129.75	$133.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $120.70 / $129.02 / $133.22	Professional	TC	$120.70	$129.02	$133.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $382.92 / $382.92 / $382.92	Facility	26	$382.92	$382.92	$382.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.55 / $306.57 / $427.95	Professional		$156.55	$306.57	$427.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.59 / $152.66 / $194.89	Professional	26	$80.59	$152.66	$194.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $84.44 / $153.90 / $194.74	Professional	TC	$84.44	$153.90	$194.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $646.64 / $646.64 / $646.64	Facility	26	$646.64	$646.64	$646.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $185.12 / $282.38 / $1,406.40	Professional		$185.12	$282.38	$1,406.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $73.36 / $141.00 / $439.49	Professional	26	$73.36	$141.00	$439.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $91.83 / $141.21 / $1,140.03	Professional	TC	$91.83	$141.21	$1,140.03
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $173.93 / $178.99 / $382.92	Facility	26	$173.93	$178.99	$382.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $240.32 / $306.57 / $427.95	Professional		$240.32	$306.57	$427.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $114.28 / $227.82	Professional		$57.24	$114.28	$227.82
United Facility/Professional Professional Modifier Low / Median / High Price $185.12 / $280.20 / $346.97	Professional		$185.12	$280.20	$346.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.79 / $139.84 / $174.45	Professional	26	$75.79	$139.84	$174.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.83 / $141.21 / $176.60	Professional	TC	$91.83	$141.21	$176.60