Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.92 / $319.92 / $332.94	Facility		$319.92	$319.92	$332.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.82 / $124.98 / $282.08	Professional		$113.82	$124.98	$282.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.77 / $21.08 / $53.31	Professional	26	$11.77	$21.08	$53.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.33 / $102.06 / $141.24	Professional	TC	$97.33	$102.06	$141.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.20 / $123.20 / $123.20	Professional		$123.20	$123.20	$123.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.88 / $371.88 / $371.88	Facility		$371.88	$371.88	$371.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.23 / $193.44 / $271.00	Professional		$119.23	$193.44	$271.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.05 / $34.39 / $47.84	Professional	26	$21.05	$34.39	$47.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $98.18 / $159.28 / $223.16	Professional	TC	$98.18	$159.28	$223.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.60 / $277.83 / $593.51	Professional		$197.60	$277.83	$593.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.25 / $46.68 / $85.76	Professional	26	$26.25	$46.68	$85.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $164.72 / $223.17 / $507.75	Professional	TC	$164.72	$223.17	$507.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.41 / $189.08 / $320.70	Facility		$118.41	$189.08	$320.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $296.83 / $1,197.25	Professional		$201.00	$296.83	$1,197.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.60 / $41.18 / $198.13	Professional	26	$19.60	$41.18	$198.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $192.43 / $270.61 / $1,126.14	Professional	TC	$192.43	$270.61	$1,126.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $220.00 / $277.83 / $331.87	Facility		$220.00	$277.83	$331.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $196.03 / $254.83 / $331.87	Professional		$196.03	$254.83	$331.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $178.00 / $178.00 / $612.70	Professional		$178.00	$178.00	$612.70
United Facility/Professional Professional Modifier Low / Median / High Price $166.56 / $284.43 / $354.53	Professional		$166.56	$284.43	$354.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.22 / $40.04 / $54.04	Professional	26	$20.22	$40.04	$54.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $146.09 / $263.74 / $310.39	Professional	TC	$146.09	$263.74	$310.39