Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.68 / $420.32 / $873.00	Facility		$166.68	$420.32	$873.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.83 / $87.86 / $117.75	Facility	26	$34.83	$87.86	$117.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.68 / $212.66 / $902.00	Professional		$166.68	$212.66	$902.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.82 / $34.83 / $91.59	Professional	26	$30.82	$34.83	$91.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.86 / $162.49 / $246.44	Professional	TC	$131.86	$162.49	$246.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $141.44 / $141.44	Professional		$141.44	$141.44	$141.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $370.81 / $502.54 / $943.40	Facility		$370.81	$502.54	$943.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.15 / $270.19 / $363.99	Professional		$160.15	$270.19	$363.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.40 / $56.36 / $75.93	Professional	26	$33.40	$56.36	$75.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $126.73 / $213.81 / $288.05	Professional	TC	$126.73	$213.81	$288.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $534.00 / $534.00 / $534.00	Facility		$534.00	$534.00	$534.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.30 / $376.17 / $470.21	Professional		$194.30	$376.17	$470.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.63 / $74.68 / $99.26	Professional	26	$39.63	$74.68	$99.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $152.40 / $301.49 / $376.87	Professional	TC	$152.40	$301.49	$376.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $166.68 / $300.02 / $625.20	Facility		$166.68	$300.02	$625.20
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $172.60 / $172.60 / $172.60	Facility	26	$172.60	$172.60	$172.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $278.64 / $349.28 / $1,459.71	Professional		$278.64	$349.28	$1,459.71
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.77 / $71.06 / $361.59	Professional	26	$52.77	$71.06	$361.59
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $219.71 / $304.85 / $1,274.61	Professional	TC	$219.71	$304.85	$1,274.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $333.74 / $370.36 / $465.28	Facility		$333.74	$370.36	$465.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $277.14 / $369.33 / $465.28	Professional		$277.14	$369.33	$465.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $444.40 / $511.00	Professional		$315.00	$444.40	$511.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.20 / $387.70 / $437.37	Professional		$267.20	$387.70	$437.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.77 / $70.91 / $91.40	Professional	26	$52.77	$70.91	$91.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $219.71 / $304.85 / $349.68	Professional	TC	$219.71	$304.85	$349.68