Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.01 / $64.01 / $64.01	Facility	26	$64.01	$64.01	$64.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.65 / $165.37 / $340.27	Professional		$142.65	$165.37	$340.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.01 / $72.67 / $277.88	Professional	26	$64.01	$72.67	$277.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.93 / $289.49 / $289.49	Professional		$144.93	$289.49	$289.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $118.18 / $127.41 / $149.97	Professional	26	$118.18	$127.41	$149.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.34 / $235.09 / $316.72	Professional		$139.34	$235.09	$316.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.28 / $103.40 / $139.30	Professional	26	$61.28	$103.40	$139.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.69 / $325.22 / $634.34	Professional		$212.69	$325.22	$634.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.08 / $138.96 / $265.44	Professional	26	$97.08	$138.96	$265.44
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $157.36 / $302.75 / $302.75	Facility	26	$157.36	$302.75	$302.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $215.53 / $292.07 / $982.06	Professional		$215.53	$292.07	$982.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $104.68 / $132.83 / $428.85	Professional	26	$104.68	$132.83	$428.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $191.34 / $309.19 / $402.68	Professional		$191.34	$309.19	$402.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $163.62 / $315.83	Professional		$76.09	$163.62	$315.83
United Facility/Professional Professional Modifier Low / Median / High Price $203.00 / $284.58 / $367.41	Professional		$203.00	$284.58	$367.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.97 / $130.32 / $167.10	Professional	26	$74.97	$130.32	$167.10