Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $148.24 / $148.24 / $148.24	Facility	26	$148.24	$148.24	$148.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.81 / $268.05 / $600.00	Professional		$233.81	$268.05	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $144.25 / $158.68 / $354.08	Professional	26	$144.25	$158.68	$354.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.57 / $103.76 / $165.56	Professional	TC	$85.57	$103.76	$165.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $407.78 / $456.27 / $537.08	Professional		$407.78	$456.27	$537.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $235.14 / $277.89 / $369.22	Professional	26	$235.14	$277.89	$369.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.50 / $379.56 / $526.16	Professional		$231.50	$379.56	$526.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $146.78 / $240.49 / $333.60	Professional	26	$146.78	$240.49	$333.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $84.73 / $139.09 / $192.56	Professional	TC	$84.73	$139.09	$192.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.73 / $536.78 / $643.34	Professional		$468.73	$536.78	$643.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $296.99 / $331.45 / $401.14	Professional	26	$296.99	$331.45	$401.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $171.74 / $194.78 / $242.20	Professional	TC	$171.74	$194.78	$242.20
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $699.38 / $699.38 / $699.38	Facility	26	$699.38	$699.38	$699.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $401.19 / $524.28 / $1,600.14	Professional		$401.19	$524.28	$1,600.14
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $250.05 / $330.32 / $982.86	Professional	26	$250.05	$330.32	$982.86
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $153.44 / $202.58 / $617.27	Professional	TC	$153.44	$202.58	$617.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $386.71 / $516.45 / $664.06	Professional		$386.71	$516.45	$664.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.81 / $257.89 / $495.94	Professional		$103.81	$257.89	$495.94
United Facility/Professional Professional Modifier Low / Median / High Price $413.54 / $537.09 / $614.79	Professional		$413.54	$537.09	$614.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $257.86 / $334.51 / $383.36	Professional	26	$257.86	$334.51	$383.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $155.68 / $188.70 / $226.44	Professional	TC	$155.68	$188.70	$226.44