Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.23 / $243.74 / $357.26	Facility	26	$98.23	$243.74	$357.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $709.48 / $709.48 / $709.48	Professional		$709.48	$709.48	$709.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $257.12 / $257.12 / $257.12	Professional	26	$257.12	$257.12	$257.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $452.37 / $452.37 / $452.37	Professional	TC	$452.37	$452.37	$452.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $226.69 / $226.69 / $226.69	Professional		$226.69	$226.69	$226.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $101.92 / $101.92 / $101.92	Professional	26	$101.92	$101.92	$101.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.52 / $221.81 / $227.37	Professional		$207.52	$221.81	$227.37
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.81 / $84.26 / $86.37	Professional	26	$78.81	$84.26	$86.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $128.69 / $137.56 / $141.00	Professional	TC	$128.69	$137.56	$141.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.02 / $280.02 / $350.03	Professional		$280.02	$280.02	$350.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.94 / $103.94 / $129.93	Professional	26	$103.94	$103.94	$129.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $176.08 / $176.08 / $220.10	Professional	TC	$176.08	$176.08	$220.10
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $420.16 / $420.16 / $420.16	Facility	26	$420.16	$420.16	$420.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $191.42 / $237.51 / $968.53	Professional		$191.42	$237.51	$968.53
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $47.98 / $89.84 / $279.39	Professional	26	$47.98	$89.84	$279.39
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $127.73 / $149.08 / $774.95	Professional	TC	$127.73	$149.08	$774.95
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $132.44 / $136.29 / $248.64	Facility	26	$132.44	$136.29	$248.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $224.75 / $257.07 / $343.61	Professional		$224.75	$257.07	$343.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.94 / $85.33 / $219.26	Professional		$48.94	$85.33	$219.26
United Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $237.51 / $287.64	Professional		$172.70	$237.51	$287.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.60 / $89.84 / $110.25	Professional	26	$52.60	$89.84	$110.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $127.73 / $149.08 / $177.40	Professional	TC	$127.73	$149.08	$177.40