Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.37 / $270.37 / $798.00	Professional		$270.37	$270.37	$798.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.64 / $206.00 / $345.44	Professional	26	$90.64	$206.00	$345.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $179.73 / $179.73 / $179.73	Professional	TC	$179.73	$179.73	$179.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $189.86 / $189.86 / $798.00	Professional		$189.86	$189.86	$798.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $65.27 / $67.20 / $318.49	Professional	26	$65.27	$67.20	$318.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $442.31 / $626.49 / $659.46	Professional		$442.31	$626.49	$659.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.74 / $209.25 / $220.27	Professional	26	$147.74	$209.25	$220.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $294.57 / $417.23 / $439.19	Professional	TC	$294.57	$417.23	$439.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.00 / $747.59 / $967.77	Professional		$608.00	$747.59	$967.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $213.00 / $270.10 / $320.20	Professional	26	$213.00	$270.10	$320.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $395.00 / $504.22 / $650.71	Professional	TC	$395.00	$504.22	$650.71
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $632.78 / $632.78 / $632.78	Facility	26	$632.78	$632.78	$632.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $285.83 / $409.64 / $2,755.28	Professional		$285.83	$409.64	$2,755.28
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $137.33 / $245.27 / $895.79	Professional	26	$137.33	$245.27	$895.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $155.57 / $272.31 / $1,859.49	Professional	TC	$155.57	$272.31	$1,859.49
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $498.87 / $498.87 / $498.87	Facility	26	$498.87	$498.87	$498.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $470.00 / $747.59 / $967.77	Professional		$470.00	$747.59	$967.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.93 / $435.34 / $789.05	Professional		$152.93	$435.34	$789.05
United Facility/Professional Professional Modifier Low / Median / High Price $285.83 / $396.12 / $769.79	Professional		$285.83	$396.12	$769.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $88.09 / $146.82 / $274.79	Professional	26	$88.09	$146.82	$274.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $155.57 / $249.30 / $495.00	Professional	TC	$155.57	$249.30	$495.00