Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.37 / $78.37 / $78.37	Facility	26	$78.37	$78.37	$78.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.58 / $366.87 / $1,411.00	Professional		$280.58	$366.87	$1,411.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.37 / $78.37 / $213.82	Professional	26	$78.37	$78.37	$213.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $202.21 / $202.21 / $1,121.94	Professional	TC	$202.21	$202.21	$1,121.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.64 / $457.93 / $610.58	Professional		$268.64	$457.93	$610.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.20 / $128.22 / $170.97	Professional	26	$75.20	$128.22	$170.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $193.50 / $329.70 / $439.81	Professional	TC	$193.50	$329.70	$439.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $559.85 / $695.73 / $834.60	Professional		$559.85	$695.73	$834.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $156.77 / $194.82 / $264.63	Professional	26	$156.77	$194.82	$264.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $403.08 / $500.92 / $578.48	Professional	TC	$403.08	$500.92	$578.48
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $378.47 / $378.47 / $378.47	Facility	26	$378.47	$378.47	$378.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $367.44 / $638.11 / $2,227.92	Professional		$367.44	$638.11	$2,227.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $111.20 / $198.28 / $684.00	Professional	26	$111.20	$198.28	$684.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $256.24 / $458.79 / $1,600.96	Professional	TC	$256.24	$458.79	$1,600.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $399.59 / $638.11 / $834.60	Professional		$399.59	$638.11	$834.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $458.00 / $827.50	Professional		$3.00	$458.00	$827.50
United Facility/Professional Professional Modifier Low / Median / High Price $367.44 / $634.29 / $724.74	Professional		$367.44	$634.29	$724.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $123.56 / $191.96 / $237.24	Professional	26	$123.56	$191.96	$237.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $265.73 / $442.33 / $522.30	Professional	TC	$265.73	$442.33	$522.30