Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.77 / $180.13 / $654.69	Facility	26	$72.77	$180.13	$654.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.55 / $498.46 / $2,346.00	Professional		$407.55	$498.46	$2,346.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.31 / $80.59 / $314.00	Professional	26	$71.31	$80.59	$314.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $326.81 / $365.81 / $2,330.04	Professional	TC	$326.81	$365.81	$2,330.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.84 / $139.00 / $169.34	Professional	26	$77.84	$139.00	$169.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $744.95 / $796.25 / $816.16	Professional		$744.95	$796.25	$816.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $133.44 / $142.63 / $146.21	Professional	26	$133.44	$142.63	$146.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $611.49 / $653.62 / $669.96	Professional	TC	$611.49	$653.62	$669.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $420.96 / $420.96 / $420.96	Facility	26	$420.96	$420.96	$420.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $806.78 / $995.22 / $1,244.03	Professional		$806.78	$995.22	$1,244.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $144.53 / $171.43 / $214.29	Professional	26	$144.53	$171.43	$214.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $662.25 / $823.79 / $1,029.74	Professional	TC	$662.25	$823.79	$1,029.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $337.57 / $337.57 / $337.57	Facility	26	$337.57	$337.57	$337.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $531.24 / $863.27 / $1,284.26	Professional		$531.24	$863.27	$1,284.26
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $92.93 / $147.02 / $222.01	Professional	26	$92.93	$147.02	$222.01
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $474.84 / $709.73 / $1,062.25	Professional	TC	$474.84	$709.73	$1,062.25
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $242.84 / $249.92 / $420.96	Facility	26	$242.84	$249.92	$420.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $677.39 / $954.39 / $1,231.70	Professional		$677.39	$954.39	$1,231.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $83.91 / $380.13 / $768.86	Professional		$83.91	$380.13	$768.86
United Facility/Professional Professional Modifier Low / Median / High Price $575.51 / $853.09 / $1,106.75	Professional		$575.51	$853.09	$1,106.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.67 / $145.18 / $193.60	Professional	26	$100.67	$145.18	$193.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $474.84 / $703.86 / $913.15	Professional	TC	$474.84	$703.86	$913.15