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 $319.50 / $404.07 / $833.18	Professional		$319.50	$404.07	$833.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.15 / $57.27 / $138.22	Professional	26	$51.15	$57.27	$138.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $268.39 / $358.64 / $464.82	Professional	TC	$268.39	$358.64	$464.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $833.05 / $833.05 / $833.05	Professional		$833.05	$833.05	$833.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $98.57 / $102.68 / $125.10	Professional	26	$98.57	$102.68	$125.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.94 / $684.74 / $927.15	Professional		$407.94	$684.74	$927.15
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 $355.12 / $597.89 / $807.08	Professional	TC	$355.12	$597.89	$807.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $786.20 / $958.99 / $1,054.64	Professional		$786.20	$958.99	$1,054.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.28 / $120.32 / $144.80	Professional	26	$107.28	$120.32	$144.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $674.77 / $838.67 / $917.79	Professional	TC	$674.77	$838.67	$917.79
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 $382.94 / $801.40 / $2,879.21	Professional		$382.94	$801.40	$2,879.21
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $86.23 / $110.25 / $356.25	Professional	26	$86.23	$110.25	$356.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $283.45 / $681.05 / $2,522.94	Professional	TC	$283.45	$681.05	$2,522.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $352.46 / $805.86 / $1,091.04	Professional		$352.46	$805.86	$1,091.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.41 / $470.85 / $909.57	Professional		$63.41	$470.85	$909.57
United Facility/Professional Professional Modifier Low / Median / High Price $501.02 / $784.83 / $1,034.11	Professional		$501.02	$784.83	$1,034.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.51 / $120.35 / $138.69	Professional	26	$86.51	$120.35	$138.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $518.41 / $674.58 / $900.19	Professional	TC	$518.41	$674.58	$900.19