Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.08 / $521.88 / $879.68	Facility	26	$104.08	$521.88	$879.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.76 / $340.73 / $744.49	Professional		$131.76	$340.73	$744.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.19 / $237.39 / $546.00	Professional	26	$102.19	$237.39	$546.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.57 / $29.57 / $149.44	Professional	TC	$29.57	$29.57	$149.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $246.60 / $326.45 / $326.45	Professional		$246.60	$326.45	$326.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $206.32 / $206.32 / $206.32	Professional	26	$206.32	$206.32	$206.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.61 / $266.80 / $273.47	Professional		$249.61	$266.80	$273.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $188.68 / $201.68 / $206.72	Professional	26	$188.68	$201.68	$206.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.92 / $64.45 / $66.75	Professional	TC	$60.92	$64.45	$66.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $595.14 / $595.14 / $595.14	Facility	26	$595.14	$595.14	$595.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.31 / $330.18 / $425.67	Professional		$270.31	$330.18	$425.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $172.00 / $247.93 / $310.27	Professional	26	$172.00	$247.93	$310.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $55.75 / $83.27 / $120.19	Professional	TC	$55.75	$83.27	$120.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $722.52 / $722.52 / $722.52	Facility	26	$722.52	$722.52	$722.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.21 / $278.89 / $3,014.42	Professional		$180.21	$278.89	$3,014.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $123.93 / $205.39 / $1,056.82	Professional	26	$123.93	$205.39	$1,056.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $32.75 / $62.69 / $2,488.46	Professional	TC	$32.75	$62.69	$2,488.46
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $337.02 / $346.83 / $595.14	Facility	26	$337.02	$346.83	$595.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $270.31 / $308.07 / $575.24	Professional		$270.31	$308.07	$575.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.42 / $118.95 / $273.32	Professional		$41.42	$118.95	$273.32
United Facility/Professional Professional Modifier Low / Median / High Price $167.34 / $276.70 / $388.00	Professional		$167.34	$276.70	$388.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $126.40 / $203.87 / $256.06	Professional	26	$126.40	$203.87	$256.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.06 / $54.02 / $121.35	Professional	TC	$28.06	$54.02	$121.35