Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.40 / $174.35 / $293.88	Facility	26	$36.40	$174.35	$293.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.28 / $251.19 / $1,046.00	Professional		$248.28	$251.19	$1,046.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.15 / $80.25 / $180.00	Professional	26	$36.15	$80.25	$180.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $214.50 / $214.50 / $1,415.48	Professional	TC	$214.50	$214.50	$1,415.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $583.25 / $583.25 / $583.25	Professional		$583.25	$583.25	$583.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $72.04 / $72.04 / $84.79	Professional	26	$72.04	$72.04	$84.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $463.58 / $495.51 / $507.91	Professional		$463.58	$495.51	$507.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.43 / $71.01 / $72.79	Professional	26	$66.43	$71.01	$72.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $397.13 / $424.50 / $435.11	Professional	TC	$397.13	$424.50	$435.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $209.58 / $209.58 / $209.58	Facility	26	$209.58	$209.58	$209.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.00 / $596.78 / $794.12	Professional		$365.00	$596.78	$794.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.00 / $86.71 / $108.60	Professional	26	$58.00	$86.71	$108.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $307.00 / $511.43 / $685.52	Professional	TC	$307.00	$511.43	$685.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $463.50 / $463.50 / $463.50	Facility	26	$463.50	$463.50	$463.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $202.11 / $504.87 / $2,395.00	Professional		$202.11	$504.87	$2,395.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $41.64 / $72.16 / $719.00	Professional	26	$41.64	$72.16	$719.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $160.47 / $442.38 / $1,676.00	Professional	TC	$160.47	$442.38	$1,676.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $112.07 / $115.34 / $209.58	Facility	26	$112.07	$115.34	$209.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $318.69 / $566.28 / $724.19	Professional		$318.69	$566.28	$724.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.44 / $250.84 / $488.31	Professional		$41.44	$250.84	$488.31
United Facility/Professional Professional Modifier Low / Median / High Price $291.14 / $500.05 / $647.28	Professional		$291.14	$500.05	$647.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.06 / $71.59 / $91.80	Professional	26	$44.06	$71.59	$91.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $266.63 / $428.16 / $555.48	Professional	TC	$266.63	$428.16	$555.48