Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $104.71 / $104.79	Facility	26	$104.71	$104.71	$104.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.19 / $475.00 / $2,053.60	Professional		$336.19	$475.00	$2,053.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $216.89 / $382.58	Professional	26	$104.71	$216.89	$382.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $231.47 / $291.85 / $598.94	Professional	TC	$231.47	$291.85	$598.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $349.19 / $759.68 / $759.68	Professional		$349.19	$759.68	$759.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $144.41 / $195.57 / $244.37	Professional	26	$144.41	$195.57	$244.37
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $422.98 / $422.98 / $422.98	Professional	TC	$422.98	$422.98	$422.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $609.87 / $651.88 / $668.17	Professional		$609.87	$651.88	$668.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $191.78 / $205.00 / $210.12	Professional	26	$191.78	$205.00	$210.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $418.07 / $446.88 / $458.05	Professional	TC	$418.07	$446.88	$458.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $604.98 / $604.98 / $604.98	Facility	26	$604.98	$604.98	$604.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.01 / $774.05 / $1,018.11	Professional		$454.01	$774.05	$1,018.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $137.77 / $239.55 / $309.31	Professional	26	$137.77	$239.55	$309.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $316.24 / $528.73 / $708.80	Professional	TC	$316.24	$528.73	$708.80
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,020.08 / $1,020.08 / $1,020.08	Facility	26	$1,020.08	$1,020.08	$1,020.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $557.52 / $903.55 / $2,337.81	Professional		$557.52	$903.55	$2,337.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $218.40 / $687.65	Professional	26	$97.72	$218.40	$687.65
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $389.53 / $649.22 / $1,650.16	Professional	TC	$389.53	$649.22	$1,650.16
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $331.64 / $341.30 / $604.98	Facility	26	$331.64	$341.30	$604.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $668.44 / $820.79 / $1,178.56	Professional		$668.44	$820.79	$1,178.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $240.87 / $570.66	Professional		$108.15	$240.87	$570.66
United Facility/Professional Professional Modifier Low / Median / High Price $557.52 / $807.68 / $1,009.60	Professional		$557.52	$807.68	$1,009.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $218.38 / $279.98	Professional	26	$97.72	$218.38	$279.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $379.00 / $571.32 / $937.89	Professional	TC	$379.00	$571.32	$937.89