Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $219.42 / $1,070.86 / $1,805.03	Facility	26	$219.42	$1,070.86	$1,805.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.96 / $525.23 / $2,489.00	Professional		$438.96	$525.23	$2,489.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $216.01 / $492.65 / $1,183.00	Professional	26	$216.01	$492.65	$1,183.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $233.30 / $233.30 / $1,531.85	Professional	TC	$233.30	$233.30	$1,531.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $886.96 / $1,070.93 / $1,070.93	Professional		$886.96	$1,070.93	$1,070.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $409.77 / $434.99 / $512.03	Professional	26	$409.77	$434.99	$512.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $836.23 / $893.84 / $916.19	Professional		$836.23	$893.84	$916.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $397.95 / $425.38 / $436.00	Professional	26	$397.95	$425.38	$436.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $438.25 / $468.44 / $480.14	Professional	TC	$438.25	$468.44	$480.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1,255.32 / $1,255.32 / $1,255.32	Facility	26	$1,255.32	$1,255.32	$1,255.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $905.62 / $1,110.86 / $1,422.44	Professional		$905.62	$1,110.86	$1,422.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $376.00 / $523.60 / $654.50	Professional	26	$376.00	$523.60	$654.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $474.62 / $586.69 / $767.94	Professional	TC	$474.62	$586.69	$767.94
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,325.34 / $1,325.34 / $1,325.34	Facility	26	$1,325.34	$1,325.34	$1,325.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $646.80 / $943.55 / $7,381.05	Professional		$646.80	$943.55	$7,381.05
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $270.31 / $432.76 / $1,699.00	Professional	26	$270.31	$432.76	$1,699.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $336.11 / $489.93 / $6,233.93	Professional	TC	$336.11	$489.93	$6,233.93
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $738.20 / $759.70 / $1,255.32	Facility	26	$738.20	$759.70	$1,255.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $905.62 / $1,079.82 / $1,651.79	Professional		$905.62	$1,079.82	$1,651.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $251.49 / $438.50 / $896.62	Professional		$251.49	$438.50	$896.62
United Facility/Professional Professional Modifier Low / Median / High Price $646.80 / $943.55 / $1,155.03	Professional		$646.80	$943.55	$1,155.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $270.31 / $432.76 / $554.83	Professional	26	$270.31	$432.76	$554.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $336.11 / $471.75 / $600.20	Professional	TC	$336.11	$471.75	$600.20