Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.56 / $276.58 / $371.09	Facility	26	$101.56	$276.58	$371.09
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $44.61 / $78.48 / $103.88	Facility	53	$44.61	$78.48	$103.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.03 / $315.19 / $511.69	Professional		$223.03	$315.19	$511.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.65 / $132.02 / $466.00	Professional	26	$99.65	$132.02	$466.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $201.47 / $201.47 / $237.15	Professional	26	$201.47	$201.47	$237.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.55 / $357.75 / $485.33	Professional		$213.55	$357.75	$485.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.90 / $163.47 / $220.22	Professional	26	$96.90	$163.47	$220.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.67 / $514.44 / $619.98	Professional		$257.67	$514.44	$619.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $124.93 / $226.23 / $285.29	Professional	26	$124.93	$226.23	$285.29
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $985.36 / $985.36 / $985.36	Facility	26	$985.36	$985.36	$985.36
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $228.96 / $228.96 / $228.96	Facility	53	$228.96	$228.96	$228.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $303.38 / $492.97 / $1,920.39	Professional		$303.38	$492.97	$1,920.39
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $140.21 / $210.31 / $1,030.27	Professional	26	$140.21	$210.31	$1,030.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $364.74 / $514.44 / $655.04	Professional		$364.74	$514.44	$655.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $132.91 / $263.23 / $637.70	Professional		$132.91	$263.23	$637.70
United Facility/Professional Professional Modifier Low / Median / High Price $303.38 / $518.08 / $585.23	Professional		$303.38	$518.08	$585.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $140.21 / $232.16 / $267.14	Professional	26	$140.21	$232.16	$267.14