Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.43 / $72.89 / $72.89	Facility	26	$72.43	$72.89	$72.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.09 / $475.00 / $1,456.51	Professional		$215.09	$475.00	$1,456.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.89 / $140.00 / $154.79	Professional	26	$72.89	$140.00	$154.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $136.24 / $142.19 / $1,003.92	Professional	TC	$136.24	$142.19	$1,003.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $169.71 / $169.71 / $169.71	Professional	26	$169.71	$169.71	$169.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.97 / $416.83 / $427.25	Professional		$389.97	$416.83	$427.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $133.15 / $142.31 / $145.88	Professional	26	$133.15	$142.31	$145.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $256.82 / $274.51 / $281.38	Professional	TC	$256.82	$274.51	$281.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $420.00 / $420.00 / $420.00	Facility	26	$420.00	$420.00	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.06 / $494.32 / $650.62	Professional		$288.06	$494.32	$650.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.31 / $166.69 / $214.29	Professional	26	$96.31	$166.69	$214.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $191.75 / $325.30 / $436.33	Professional	TC	$191.75	$325.30	$436.33
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $707.68 / $707.68 / $707.68	Facility	26	$707.68	$707.68	$707.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $353.19 / $588.65 / $1,484.56	Professional		$353.19	$588.65	$1,484.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $93.48 / $154.53 / $478.82	Professional	26	$93.48	$154.53	$478.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $236.34 / $393.90 / $1,057.35	Professional	TC	$236.34	$393.90	$1,057.35
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $231.97 / $238.72 / $420.00	Facility	26	$231.97	$238.72	$420.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $427.43 / $524.85 / $698.97	Professional		$427.43	$524.85	$698.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $204.23 / $364.55	Professional		$75.30	$204.23	$364.55
United Facility/Professional Professional Modifier Low / Median / High Price $353.19 / $543.79 / $1,005.98	Professional		$353.19	$543.79	$1,005.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.48 / $151.91 / $194.75	Professional	26	$93.48	$151.91	$194.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $236.34 / $363.88 / $917.63	Professional	TC	$236.34	$363.88	$917.63