Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.98 / $128.90 / $173.24	Facility	26	$51.98	$128.90	$173.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.93 / $297.86 / $1,182.00	Professional		$246.93	$297.86	$1,182.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.98 / $117.29 / $371.25	Professional	26	$51.98	$117.29	$371.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $151.63 / $195.28 / $411.02	Professional	TC	$151.63	$195.28	$411.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.19 / $446.19 / $566.24	Professional		$446.19	$446.19	$566.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.39 / $55.95 / $120.81	Professional	26	$41.39	$55.95	$120.81
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $378.42 / $378.42 / $445.43	Professional	TC	$378.42	$378.42	$445.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.91 / $394.01 / $536.16	Professional		$235.91	$394.01	$536.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.42 / $83.37 / $112.31	Professional	26	$49.42	$83.37	$112.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $186.50 / $311.48 / $423.86	Professional	TC	$186.50	$311.48	$423.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.29 / $549.95 / $688.77	Professional		$273.29	$549.95	$688.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.79 / $117.45 / $147.00	Professional	26	$58.79	$117.45	$147.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $225.31 / $440.37 / $550.47	Professional	TC	$225.31	$440.37	$550.47
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $377.88 / $377.88 / $377.88	Facility	26	$377.88	$377.88	$377.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $412.70 / $562.42 / $2,362.07	Professional		$412.70	$562.42	$2,362.07
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $88.37 / $123.55 / $248.16	Professional	26	$88.37	$123.55	$248.16
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $324.33 / $439.02 / $1,854.93	Professional	TC	$324.33	$439.02	$1,854.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $408.77 / $526.30 / $688.77	Professional		$408.77	$526.30	$688.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.01 / $266.16 / $509.53	Professional		$58.01	$266.16	$509.53
United Facility/Professional Professional Modifier Low / Median / High Price $412.70 / $515.88 / $648.80	Professional		$412.70	$515.88	$648.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $88.37 / $124.27 / $165.52	Professional	26	$88.37	$124.27	$165.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $313.01 / $450.02 / $512.41	Professional	TC	$313.01	$450.02	$512.41