Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.12 / $47.57 / $47.57	Facility		$47.12	$47.57	$47.57
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.31 / $56.71 / $153.55	Facility	26	$42.31	$56.71	$153.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $47.57 / $47.57	Professional		$47.57	$47.57	$47.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.25 / $45.00 / $104.76	Professional	26	$41.25	$45.00	$104.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.45 / $44.90 / $44.90	Professional	26	$31.45	$44.90	$44.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,455.14 / $1,913.91 / $3,702.11	Facility		$1,455.14	$1,913.91	$3,702.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.62 / $75.64 / $76.79	Professional		$67.62	$75.64	$76.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.50 / $71.40 / $72.12	Professional	26	$63.50	$71.40	$72.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.38 / $67.97 / $117.91	Professional		$54.38	$67.97	$117.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.22 / $63.75 / $110.75	Professional	26	$29.22	$63.75	$110.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.93 / $46.81 / $242.00	Facility		$28.93	$46.81	$242.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $223.26 / $223.26 / $223.26	Facility	26	$223.26	$223.26	$223.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.06 / $39.49 / $302.45	Professional		$29.06	$39.49	$302.45
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $29.04 / $39.47 / $283.52	Professional	26	$29.04	$39.47	$283.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.46 / $62.18 / $117.91	Facility		$22.46	$62.18	$117.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $39.07 / $117.91	Professional		$25.16	$39.07	$117.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $49.89 / $92.09	Professional		$3.24	$49.89	$92.09
United Facility/Professional Professional Modifier Low / Median / High Price $29.06 / $39.49 / $113.45	Professional		$29.06	$39.49	$113.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.04 / $40.29 / $107.33	Professional	26	$29.04	$40.29	$107.33