Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.62 / $149.60 / $217.86	Facility	26	$65.62	$149.60	$217.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.40 / $214.53 / $1,016.00	Professional		$174.40	$214.53	$1,016.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.62 / $85.30 / $311.94	Professional	26	$65.62	$85.30	$311.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $108.78 / $141.41 / $215.80	Professional	TC	$108.78	$141.41	$215.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $130.49 / $130.49 / $163.91	Professional	26	$130.49	$130.49	$163.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.56 / $282.69 / $380.82	Professional		$167.56	$282.69	$380.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.89 / $106.09 / $142.91	Professional	26	$62.89	$106.09	$142.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $104.68 / $176.65 / $241.93	Professional	TC	$104.68	$176.65	$241.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.27 / $385.94 / $482.42	Professional		$190.27	$385.94	$482.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $146.27 / $185.50	Professional	26	$75.86	$146.27	$185.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $124.63 / $254.85 / $307.95	Professional	TC	$124.63	$254.85	$307.95
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $557.91 / $557.91 / $557.91	Facility	26	$557.91	$557.91	$557.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $232.75 / $353.02 / $1,677.02	Professional		$232.75	$353.02	$1,677.02
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $90.90 / $139.84 / $718.23	Professional	26	$90.90	$139.84	$718.23
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $141.85 / $218.24 / $985.97	Professional	TC	$141.85	$218.24	$985.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $281.45 / $386.88 / $480.71	Professional		$281.45	$386.88	$480.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $119.27 / $207.96 / $423.80	Professional		$119.27	$207.96	$423.80
United Facility/Professional Professional Modifier Low / Median / High Price $219.36 / $397.47 / $457.63	Professional		$219.36	$397.47	$457.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $90.90 / $144.68 / $173.19	Professional	26	$90.90	$144.68	$173.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.05 / $221.91 / $285.44	Professional	TC	$141.05	$221.91	$285.44