Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.64 / $97.64 / $97.64	Facility	26	$97.64	$97.64	$97.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.38 / $340.38 / $1,876.56	Professional		$340.38	$340.38	$1,876.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.84 / $97.64 / $560.90	Professional	26	$53.84	$97.64	$560.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $207.65 / $242.74 / $1,315.67	Professional	TC	$207.65	$242.74	$1,315.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.62 / $556.74 / $742.32	Professional		$326.62	$556.74	$742.32
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $94.01 / $160.25 / $213.66	Professional	26	$94.01	$160.25	$213.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $232.61 / $396.49 / $528.64	Professional	TC	$232.61	$396.49	$528.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $680.64 / $845.85 / $997.25	Professional		$680.64	$845.85	$997.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $195.91 / $243.46 / $328.59	Professional	26	$195.91	$243.46	$328.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $484.74 / $590.87 / $705.09	Professional	TC	$484.74	$590.87	$705.09
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $473.80 / $473.80 / $473.80	Facility	26	$473.80	$473.80	$473.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $439.83 / $733.05 / $2,710.64	Professional		$439.83	$733.05	$2,710.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $139.29 / $232.16 / $785.60	Professional	26	$139.29	$232.16	$785.60
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $300.54 / $500.89 / $1,925.04	Professional	TC	$300.54	$500.89	$1,925.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $472.26 / $754.78 / $987.20	Professional		$472.26	$754.78	$987.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $395.90 / $998.00	Professional		$3.00	$395.90	$998.00
United Facility/Professional Professional Modifier Low / Median / High Price $456.12 / $759.24 / $879.20	Professional		$456.12	$759.24	$879.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $144.44 / $240.45 / $297.83	Professional	26	$144.44	$240.45	$297.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $300.54 / $518.79 / $626.00	Professional	TC	$300.54	$518.79	$626.00