Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.45 / $243.45 / $243.45	Professional		$243.45	$243.45	$243.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.36 / $40.36 / $156.16	Professional	26	$40.36	$40.36	$156.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $203.09 / $203.09 / $203.09	Professional	TC	$203.09	$203.09	$203.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $143.83 / $143.83 / $143.83	Professional	26	$143.83	$143.83	$143.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.57 / $568.76 / $598.71	Professional		$401.57	$568.76	$598.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.14 / $93.68 / $98.60	Professional	26	$66.14	$93.68	$98.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $335.43 / $475.10 / $500.10	Professional	TC	$335.43	$475.10	$500.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.00 / $677.14 / $902.52	Professional		$546.00	$677.14	$902.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.00 / $119.38 / $144.28	Professional	26	$94.00	$119.38	$144.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $452.00 / $568.26 / $762.98	Professional	TC	$452.00	$568.26	$762.98
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $283.08 / $283.08 / $283.08	Facility	26	$283.08	$283.08	$283.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $198.39 / $378.00 / $2,575.76	Professional		$198.39	$378.00	$2,575.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $61.15 / $65.56 / $393.91	Professional	26	$61.15	$65.56	$393.91
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $134.47 / $312.51 / $2,181.85	Professional	TC	$134.47	$312.51	$2,181.85
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $220.05 / $220.05 / $220.05	Facility	26	$220.05	$220.05	$220.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $470.79 / $677.14 / $919.35	Professional		$470.79	$677.14	$919.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $407.08 / $709.78	Professional		$69.56	$407.08	$709.78
United Facility/Professional Professional Modifier Low / Median / High Price $198.39 / $378.00 / $573.35	Professional		$198.39	$378.00	$573.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.10 / $65.48 / $130.97	Professional	26	$58.10	$65.48	$130.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $187.51 / $312.51 / $459.39	Professional	TC	$187.51	$312.51	$459.39