Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.36 / $53.36 / $53.36	Facility	26	$53.36	$53.36	$53.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.11 / $327.49 / $727.30	Professional		$309.11	$327.49	$727.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.82 / $56.89 / $138.22	Professional	26	$50.82	$56.89	$138.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $642.51 / $642.51 / $642.51	Professional		$642.51	$642.51	$642.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.34 / $98.57 / $125.10	Professional	26	$51.34	$98.57	$125.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.57 / $528.66 / $721.76	Professional		$317.57	$528.66	$721.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.84 / $86.87 / $120.09	Professional	26	$52.84	$86.87	$120.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $599.61 / $740.67 / $811.55	Professional		$599.61	$740.67	$811.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.28 / $119.64 / $144.81	Professional	26	$107.28	$119.64	$144.81
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $251.32 / $251.32 / $251.32	Facility	26	$251.32	$251.32	$251.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $377.32 / $612.96 / $2,222.29	Professional		$377.32	$612.96	$2,222.29
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $86.22 / $112.42 / $774.69	Professional	26	$86.22	$112.42	$774.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $375.49 / $659.52 / $849.81	Professional		$375.49	$659.52	$849.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $363.16 / $723.69	Professional		$65.31	$363.16	$723.69
United Facility/Professional Professional Modifier Low / Median / High Price $410.74 / $680.39 / $841.60	Professional		$410.74	$680.39	$841.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.94 / $120.35 / $137.88	Professional	26	$89.94	$120.35	$137.88