Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.63 / $80.63 / $80.63	Facility	26	$80.63	$80.63	$80.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.94 / $399.04 / $516.08	Professional		$346.94	$399.04	$516.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.63 / $90.76 / $221.17	Professional	26	$80.63	$90.76	$221.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $238.90 / $318.42 / $412.81	Professional	TC	$238.90	$318.42	$412.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $122.74 / $143.63 / $189.18	Professional	26	$122.74	$143.63	$189.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.76 / $669.37 / $901.75	Professional		$396.76	$669.37	$901.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.84 / $131.27 / $181.44	Professional	26	$79.84	$131.27	$181.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $318.99 / $538.14 / $724.97	Professional	TC	$318.99	$538.14	$724.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $746.07 / $942.86 / $1,027.51	Professional		$746.07	$942.86	$1,027.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $162.10 / $182.30 / $217.68	Professional	26	$162.10	$182.30	$217.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $578.54 / $746.33 / $826.06	Professional	TC	$578.54	$746.33	$826.06
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $379.97 / $379.97 / $379.97	Facility	26	$379.97	$379.97	$379.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $465.62 / $762.58 / $2,747.80	Professional		$465.62	$762.58	$2,747.80
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $136.34 / $173.04 / $774.69	Professional	26	$136.34	$173.04	$774.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $350.92 / $592.16 / $2,208.88	Professional	TC	$350.92	$592.16	$2,208.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $473.76 / $826.82 / $1,037.94	Professional		$473.76	$826.82	$1,037.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $98.64 / $464.02 / $907.21	Professional		$98.64	$464.02	$907.21
United Facility/Professional Professional Modifier Low / Median / High Price $508.70 / $762.58 / $1,006.72	Professional		$508.70	$762.58	$1,006.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $137.44 / $184.89 / $211.57	Professional	26	$137.44	$184.89	$211.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $427.01 / $577.36 / $813.85	Professional	TC	$427.01	$577.36	$813.85