Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.24 / $123.24 / $123.24	Professional		$123.24	$123.24	$123.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.98 / $14.98 / $60.26	Professional	26	$14.98	$14.98	$60.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $108.26 / $108.26 / $108.26	Professional	TC	$108.26	$108.26	$108.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.12 / $52.12 / $52.12	Professional	26	$52.12	$52.12	$52.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.28 / $287.94 / $303.08	Professional		$203.28	$287.94	$303.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.21 / $34.29 / $36.10	Professional	26	$24.21	$34.29	$36.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $179.08 / $253.63 / $266.99	Professional	TC	$179.08	$253.63	$266.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.95 / $352.00 / $468.71	Professional		$262.95	$352.00	$468.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.60 / $46.68 / $55.45	Professional	26	$39.60	$46.68	$55.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $216.27 / $303.89 / $416.38	Professional	TC	$216.27	$303.89	$416.38
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $240.51 / $240.51 / $240.51	Facility	26	$240.51	$240.51	$240.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $148.88 / $186.72 / $1,336.58	Professional		$148.88	$186.72	$1,336.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.69 / $36.94 / $315.72	Professional	26	$22.69	$36.94	$315.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $95.54 / $156.99 / $1,188.97	Professional	TC	$95.54	$156.99	$1,188.97
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $136.22 / $136.22 / $136.22	Facility	26	$136.22	$136.22	$136.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $183.08 / $339.44 / $468.71	Professional		$183.08	$339.44	$468.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $202.83 / $353.65	Professional		$25.16	$202.83	$353.65
United Facility/Professional Professional Modifier Low / Median / High Price $158.79 / $177.38 / $334.30	Professional		$158.79	$177.38	$334.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.56 / $25.13 / $97.03	Professional	26	$21.56	$25.13	$97.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.54 / $142.02 / $282.58	Professional	TC	$95.54	$142.02	$282.58