Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.01 / $39.10 / $105.67	Facility	26	$11.01	$39.10	$105.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $95.85 / $289.00	Professional		$47.79	$95.85	$289.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.61 / $26.20 / $68.00	Professional	26	$10.61	$26.20	$68.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.70 / $38.46 / $178.07	Professional	TC	$35.70	$38.46	$178.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.29 / $97.57 / $100.02	Professional		$91.29	$97.57	$100.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.28 / $21.68 / $22.78	Professional	26	$20.28	$21.68	$22.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $71.01 / $75.90 / $77.79	Professional	TC	$71.01	$75.90	$77.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.96 / $63.96 / $63.96	Facility	26	$63.96	$63.96	$63.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $113.15 / $155.13	Professional		$52.07	$113.15	$155.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.39 / $25.29 / $32.00	Professional	26	$13.39	$25.29	$32.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.51 / $88.71 / $123.14	Professional	TC	$40.51	$88.71	$123.14
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.48 / $93.41 / $345.31	Professional		$57.48	$93.41	$345.31
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $23.35 / $142.00	Professional	26	$14.45	$23.35	$142.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $43.03 / $69.93 / $272.83	Professional	TC	$43.03	$69.93	$272.83
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $39.17 / $40.31 / $63.96	Facility	26	$39.17	$40.31	$63.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $103.15 / $132.11	Professional		$78.00	$103.15	$132.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $47.34 / $89.05	Professional		$11.37	$47.34	$89.05
United Facility/Professional Professional Modifier Low / Median / High Price $57.48 / $92.30 / $117.50	Professional		$57.48	$92.30	$117.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $22.94 / $29.54	Professional	26	$14.45	$22.94	$29.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.77 / $60.42 / $87.96	Professional	TC	$37.77	$60.42	$87.96