Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.14 / $90.54 / $121.69	Facility	26	$36.14	$90.54	$121.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.47 / $293.25 / $943.00	Professional		$133.47	$293.25	$943.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.11 / $81.59 / $236.71	Professional	26	$37.11	$81.59	$236.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.33 / $169.58 / $276.17	Professional	TC	$97.33	$169.58	$276.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.85 / $272.35 / $272.35	Professional		$112.85	$272.35	$272.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.79 / $51.87 / $84.26	Professional	26	$27.79	$51.87	$84.26
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $193.98 / $193.98 / $193.98	Professional	TC	$193.98	$193.98	$193.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.99 / $217.61 / $293.16	Professional		$128.99	$217.61	$293.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.39 / $58.03 / $78.18	Professional	26	$34.39	$58.03	$78.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $94.59 / $158.77 / $214.97	Professional	TC	$94.59	$158.77	$214.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.30 / $327.05 / $417.00	Professional		$161.30	$327.05	$417.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.43 / $80.70 / $102.38	Professional	26	$41.43	$80.70	$102.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $126.73 / $242.48 / $321.02	Professional	TC	$126.73	$242.48	$321.02
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $251.76 / $251.76 / $251.76	Facility	26	$251.76	$251.76	$251.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.20 / $324.45 / $1,354.08	Professional		$245.20	$324.45	$1,354.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $61.70 / $83.12 / $168.43	Professional	26	$61.70	$83.12	$168.43
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $183.50 / $229.38 / $1,018.44	Professional	TC	$183.50	$229.38	$1,018.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $221.39 / $327.05 / $402.64	Professional		$221.39	$327.05	$402.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $159.83 / $299.00	Professional		$40.46	$159.83	$299.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.20 / $324.45 / $388.38	Professional		$245.20	$324.45	$388.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.70 / $89.86 / $110.36	Professional	26	$61.70	$89.86	$110.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $176.32 / $258.05 / $293.55	Professional	TC	$176.32	$258.05	$293.55