Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.22 / $62.22 / $62.22	Facility	26	$62.22	$62.22	$62.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.31 / $122.90 / $317.52	Professional		$105.31	$122.90	$317.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.27 / $66.29 / $156.22	Professional	26	$60.27	$66.29	$156.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.50 / $207.52 / $207.52	Professional		$200.50	$207.52	$207.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $98.69 / $98.69 / $155.38	Professional	26	$98.69	$98.69	$155.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.27 / $171.46 / $236.99	Professional		$104.27	$171.46	$236.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.60 / $101.16 / $140.02	Professional	26	$61.60	$101.16	$140.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.73 / $244.27 / $303.27	Professional		$211.73	$244.27	$303.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $124.92 / $139.80 / $169.81	Professional	26	$124.92	$139.80	$169.81
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $292.17 / $292.17 / $292.17	Facility	26	$292.17	$292.17	$292.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $184.94 / $234.34 / $728.40	Professional		$184.94	$234.34	$728.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $105.52 / $133.35 / $414.32	Professional	26	$105.52	$133.35	$414.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $185.98 / $239.19 / $313.04	Professional		$185.98	$239.19	$313.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.98 / $117.29 / $226.81	Professional		$54.98	$117.29	$226.81
United Facility/Professional Professional Modifier Low / Median / High Price $190.72 / $238.82 / $283.54	Professional		$190.72	$238.82	$283.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $108.82 / $139.19 / $163.27	Professional	26	$108.82	$139.19	$163.27