Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.54 / $340.10 / $1,337.00	Professional		$337.54	$340.10	$1,337.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $168.95 / $168.95 / $367.86	Professional	26	$168.95	$168.95	$367.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $171.15 / $171.15 / $171.15	Professional	TC	$171.15	$171.15	$171.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $689.25 / $689.25 / $689.25	Professional		$689.25	$689.25	$689.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.29 / $228.29 / $228.29	Facility		$228.29	$228.29	$228.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.13 / $529.90 / $557.79	Professional		$374.13	$529.90	$557.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $182.18 / $258.04 / $271.62	Professional	26	$182.18	$258.04	$271.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $191.94 / $271.87 / $286.18	Professional	TC	$191.94	$271.87	$286.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.66 / $589.29 / $920.62	Professional		$451.66	$589.29	$920.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $219.94 / $291.82 / $456.27	Professional	26	$219.94	$291.82	$456.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $231.73 / $297.49 / $464.35	Professional	TC	$231.73	$297.49	$464.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $340.10 / $1,105.36 / $2,185.65	Facility		$340.10	$1,105.36	$2,185.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $846.88 / $846.88 / $846.88	Facility	26	$846.88	$846.88	$846.88
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $1,452.72 / $1,452.72 / $1,452.72	Facility	TC	$1,452.72	$1,452.72	$1,452.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $326.01 / $452.27 / $5,718.36	Professional		$326.01	$452.27	$5,718.36
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $168.95 / $179.07 / $1,098.38	Professional	26	$168.95	$179.07	$1,098.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $146.77 / $211.12 / $2,229.25	Professional	TC	$146.77	$211.12	$2,229.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $451.66 / $599.07 / $971.00	Facility		$451.66	$599.07	$971.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $505.26 / $601.98 / $991.54	Professional		$505.26	$601.98	$991.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $331.28 / $679.26	Professional		$190.00	$331.28	$679.26
United Facility/Professional Professional Modifier Low / Median / High Price $195.61 / $326.06 / $1,120.70	Professional		$195.61	$326.06	$1,120.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $160.51 / $179.07 / $361.18	Professional	26	$160.51	$179.07	$361.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $139.59 / $155.77 / $775.56	Professional	TC	$139.59	$155.77	$775.56