Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.09 / $135.49 / $368.62	Facility	26	$27.09	$135.49	$368.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.14 / $181.69 / $1,262.02	Professional		$111.14	$181.69	$1,262.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.09 / $61.16 / $213.02	Professional	26	$27.09	$61.16	$213.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.05 / $84.05 / $955.82	Professional	TC	$84.05	$84.05	$955.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.41 / $19.47 / $94.88	Professional	26	$19.41	$19.47	$94.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.12 / $266.61 / $269.30	Professional		$237.12	$266.61	$269.30
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.86 / $65.06 / $65.73	Professional	26	$57.86	$65.06	$65.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $179.25 / $201.53 / $203.56	Professional	TC	$179.25	$201.53	$203.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $236.52 / $236.52 / $236.52	Facility	26	$236.52	$236.52	$236.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.18 / $373.29 / $466.62	Professional		$297.18	$373.29	$466.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.20 / $87.17 / $108.97	Professional	26	$72.20	$87.17	$108.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $182.00 / $286.12 / $357.65	Professional	TC	$182.00	$286.12	$357.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $239.31 / $239.31 / $239.31	Facility	26	$239.31	$239.31	$239.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.85 / $169.29 / $1,140.80	Professional		$140.85	$169.29	$1,140.80
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $41.05 / $45.83 / $326.98	Professional	26	$41.05	$45.83	$326.98
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $85.88 / $125.19 / $871.18	Professional	TC	$85.88	$125.19	$871.18
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $147.83 / $152.13 / $236.52	Facility	26	$147.83	$152.13	$236.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $304.11 / $455.24	Professional		$207.13	$304.11	$455.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.02 / $183.22 / $319.45	Professional		$46.02	$183.22	$319.45
United Facility/Professional Professional Modifier Low / Median / High Price $109.88 / $169.29 / $296.06	Professional		$109.88	$169.29	$296.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.00 / $44.10 / $88.20	Professional	26	$39.00	$44.10	$88.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.11 / $125.19 / $250.38	Professional	TC	$75.11	$125.19	$250.38