Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.67 / $329.64 / $555.63	Facility	26	$61.67	$329.64	$555.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.70 / $1,882.00 / $1,990.18	Professional		$294.70	$1,882.00	$1,990.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.67 / $299.94 / $380.09	Professional	26	$61.67	$299.94	$380.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $233.03 / $233.03 / $1,610.09	Professional	TC	$233.03	$233.03	$1,610.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $143.69 / $143.69 / $143.69	Professional	26	$143.69	$143.69	$143.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $539.63 / $576.79 / $591.22	Professional		$539.63	$576.79	$591.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $113.17 / $120.95 / $123.98	Professional	26	$113.17	$120.95	$123.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $426.44 / $455.81 / $467.22	Professional	TC	$426.44	$455.81	$467.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $357.00 / $357.00 / $357.00	Facility	26	$357.00	$357.00	$357.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.40 / $722.18 / $902.72	Professional		$584.40	$722.18	$902.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $122.57 / $145.06 / $181.32	Professional	26	$122.57	$145.06	$181.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $461.83 / $577.12 / $721.40	Professional	TC	$461.83	$577.12	$721.40
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $286.08 / $286.08 / $286.08	Facility	26	$286.08	$286.08	$286.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $381.80 / $620.42 / $927.03	Professional		$381.80	$620.42	$927.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $85.44 / $128.15 / $188.72	Professional	26	$85.44	$128.15	$188.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $302.94 / $492.28 / $738.31	Professional	TC	$302.94	$492.28	$738.31
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $206.25 / $212.25 / $357.00	Facility	26	$206.25	$212.25	$357.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $483.83 / $689.66 / $857.74	Professional		$483.83	$689.66	$857.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.17 / $266.94 / $559.79	Professional		$71.17	$266.94	$559.79
United Facility/Professional Professional Modifier Low / Median / High Price $397.36 / $618.87 / $795.43	Professional		$397.36	$618.87	$795.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.44 / $126.64 / $164.30	Professional	26	$85.44	$126.64	$164.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $302.94 / $489.36 / $631.13	Professional	TC	$302.94	$489.36	$631.13