Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $148.46 / $724.94 / $1,221.94	Facility	26	$148.46	$724.94	$1,221.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.88 / $425.88 / $2,373.54	Professional		$425.88	$425.88	$2,373.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $145.78 / $145.78 / $872.89	Professional	26	$145.78	$145.78	$872.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $280.11 / $280.11 / $1,500.65	Professional	TC	$280.11	$280.11	$1,500.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $345.88 / $345.88 / $345.88	Professional	26	$345.88	$345.88	$345.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.01 / $848.72 / $869.94	Professional		$794.01	$848.72	$869.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $268.57 / $287.07 / $294.25	Professional	26	$268.57	$287.07	$294.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $525.44 / $561.63 / $575.66	Professional	TC	$525.44	$561.63	$575.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $847.14 / $847.14 / $847.14	Facility	26	$847.14	$847.14	$847.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.00 / $954.59 / $1,361.35	Professional		$598.00	$954.59	$1,361.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $219.00 / $353.72 / $442.15	Professional	26	$219.00	$353.72	$442.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $379.00 / $625.02 / $919.20	Professional	TC	$379.00	$625.02	$919.20
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $697.88 / $697.88 / $697.88	Facility	26	$697.88	$697.88	$697.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $404.89 / $750.26 / $2,872.34	Professional		$404.89	$750.26	$2,872.34
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $179.24 / $291.95 / $948.42	Professional	26	$179.24	$291.95	$948.42
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $225.65 / $458.31 / $1,923.92	Professional	TC	$225.65	$458.31	$1,923.92
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $491.86 / $506.18 / $847.14	Facility	26	$491.86	$506.18	$847.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $640.41 / $870.28 / $1,154.77	Professional		$640.41	$870.28	$1,154.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $334.32 / $849.68	Professional		$170.08	$334.32	$849.68
United Facility/Professional Professional Modifier Low / Median / High Price $456.65 / $764.46 / $942.89	Professional		$456.65	$764.46	$942.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $189.50 / $306.14 / $363.97	Professional	26	$189.50	$306.14	$363.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $282.04 / $452.90 / $588.21	Professional	TC	$282.04	$452.90	$588.21