Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $218.78 / $218.78	Facility	26	$97.72	$218.78	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $2,137.96	Professional		$338.84	$398.11	$2,137.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $112.20 / $562.34	Professional	26	$97.72	$112.20	$562.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $269.15 / $1,584.89	Professional	TC	$208.93	$269.15	$1,584.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $549.54 / $741.31	Professional		$323.59	$549.54	$741.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $158.49 / $213.80	Professional	26	$93.33	$158.49	$213.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $398.11 / $524.81	Professional	TC	$234.42	$398.11	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $758.58 / $1,023.29	Professional		$346.74	$758.58	$1,023.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $239.88 / $323.59	Professional	26	$112.20	$239.88	$323.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $575.44 / $724.44	Professional	TC	$239.88	$575.44	$724.44
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $478.63 / $478.63 / $478.63	Facility	26	$478.63	$478.63	$478.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $630.96 / $977.24	Professional		$436.52	$630.96	$977.24
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $144.54 / $213.80 / $302.00	Professional	26	$144.54	$213.80	$302.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $407.38 / $691.83	Professional	TC	$302.00	$407.38	$691.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $758.58 / $1,148.15	Professional		$741.31	$758.58	$1,148.15
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $229.09 / $251.19 / $331.13	Professional	26	$229.09	$251.19	$331.13
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $501.19 / $512.86 / $794.33	Professional	TC	$501.19	$512.86	$794.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $229.09 / $229.09 / $229.09	Professional	26	$229.09	$229.09	$229.09
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $524.81 / $524.81 / $524.81	Professional	TC	$524.81	$524.81	$524.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $436.52 / $1,000.00	Professional		$3.02	$436.52	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $851.14	Professional		$446.68	$630.96	$851.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $144.54 / $208.93 / $269.15	Professional	26	$144.54	$208.93	$269.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $426.58 / $602.56	Professional	TC	$302.00	$426.58	$602.56