Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.68 / $123.68 / $123.68	Facility	26	$123.68	$123.68	$123.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.89 / $240.87 / $591.38	Professional		$199.89	$240.87	$591.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.34 / $127.97 / $313.23	Professional	26	$120.34	$127.97	$313.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $76.20 / $91.70 / $119.98	Professional	TC	$76.20	$91.70	$119.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $189.32 / $350.24 / $461.30	Professional		$189.32	$350.24	$461.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $196.71 / $238.44 / $290.49	Professional	26	$196.71	$238.44	$290.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.93 / $324.70 / $449.82	Professional		$197.93	$324.70	$449.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $122.45 / $201.33 / $278.32	Professional	26	$122.45	$201.33	$278.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.45 / $123.38 / $171.47	Professional	TC	$75.45	$123.38	$171.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.98 / $461.12 / $571.70	Professional		$400.98	$461.12	$571.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $248.62 / $278.10 / $337.10	Professional	26	$248.62	$278.10	$337.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $152.36 / $180.54 / $234.60	Professional	TC	$152.36	$180.54	$234.60
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $584.34 / $584.34 / $584.34	Facility	26	$584.34	$584.34	$584.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $350.14 / $437.68 / $607.41	Professional		$350.14	$437.68	$607.41
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $209.84 / $275.58 / $824.31	Professional	26	$209.84	$275.58	$824.31
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $140.30 / $177.65 / $550.61	Professional	TC	$140.30	$177.65	$550.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $349.76 / $451.89 / $590.12	Professional		$349.76	$451.89	$590.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $94.29 / $221.50 / $425.97	Professional		$94.29	$221.50	$425.97
United Facility/Professional Professional Modifier Low / Median / High Price $361.09 / $456.51 / $536.80	Professional		$361.09	$456.51	$536.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $216.40 / $278.86 / $324.54	Professional	26	$216.40	$278.86	$324.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.69 / $177.65 / $215.10	Professional	TC	$144.69	$177.65	$215.10