Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $154.88 / $218.78 / $676.08	Facility	26	$154.88	$218.78	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $2,754.23	Professional		$398.11	$549.54	$2,754.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $89.13 / $416.87	Professional	26	$67.61	$89.13	$416.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $102.33 / $102.33	Professional	26	$102.33	$102.33	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $758.58 / $812.83	Professional		$724.44	$758.58	$812.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $128.82 / $138.04	Professional	26	$123.03	$128.82	$138.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $398.11 / $398.11 / $398.11	Facility	26	$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $977.24 / $1,258.93	Professional		$389.05	$977.24	$1,258.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $165.96 / $204.17	Professional	26	$63.10	$165.96	$204.17
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	26	$660.69	$660.69	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $851.14 / $1,071.52	Professional		$501.19	$851.14	$1,071.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $138.04 / $208.93	Professional	26	$85.11	$138.04	$208.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $977.24 / $1,412.54	Professional		$891.25	$977.24	$1,412.54
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $169.82 / $239.88	Professional	26	$147.91	$169.82	$239.88
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $398.11 / $398.11 / $398.11	Facility	26	$398.11	$398.11	$398.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $158.49 / $158.49	Professional	26	$158.49	$158.49	$158.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $831.76 / $1,174.90	Professional		$707.95	$831.76	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $831.76 / $1,071.52	Professional		$501.19	$831.76	$1,071.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $134.90 / $186.21	Professional	26	$81.28	$134.90	$186.21