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 $286.02 / $355.38 / $782.33	Professional		$286.02	$355.38	$782.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.32 / $57.33 / $134.47	Professional	26	$51.32	$57.33	$134.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $234.69 / $302.02 / $391.61	Professional	TC	$234.69	$302.02	$391.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $716.18 / $716.18 / $716.18	Professional		$716.18	$716.18	$716.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.91 / $100.11 / $125.10	Professional	26	$66.91	$100.11	$125.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.64 / $594.94 / $801.48	Professional		$352.64	$594.94	$801.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.84 / $86.87 / $120.09	Professional	26	$52.84	$86.87	$120.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $301.17 / $508.10 / $684.48	Professional	TC	$301.17	$508.10	$684.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $669.23 / $817.04 / $913.25	Professional		$669.23	$817.04	$913.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.28 / $119.64 / $144.79	Professional	26	$107.28	$119.64	$144.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $557.79 / $697.45 / $779.96	Professional	TC	$557.79	$697.45	$779.96
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 $375.41 / $683.04 / $2,452.27	Professional		$375.41	$683.04	$2,452.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $86.22 / $112.42 / $354.09	Professional	26	$86.22	$112.42	$354.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $278.76 / $566.82 / $2,098.17	Professional	TC	$278.76	$566.82	$2,098.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $376.85 / $695.16 / $913.25	Professional		$376.85	$695.16	$913.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.05 / $404.80 / $780.38	Professional		$63.05	$404.80	$780.38
United Facility/Professional Professional Modifier Low / Median / High Price $378.24 / $702.27 / $910.18	Professional		$378.24	$702.27	$910.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.22 / $112.42 / $137.88	Professional	26	$86.22	$112.42	$137.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $278.76 / $581.66 / $758.07	Professional	TC	$278.76	$581.66	$758.07