Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $123.03 / $371.54	Facility	26	$87.10	$123.03	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $208.93	Professional		$87.10	$114.82	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $72.44 / $134.90	Professional	TC	$53.70	$72.44	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $194.98 / $208.93	Professional		$181.97	$194.98	$208.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $123.03 / $131.83	Professional	TC	$107.15	$123.03	$131.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	26	$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $229.09 / $323.59	Professional		$83.18	$229.09	$323.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $147.91 / $223.87	Professional	TC	$52.48	$147.91	$223.87
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	26	$181.97	$181.97	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $190.55 / $1,122.02	Professional		$114.82	$190.55	$1,122.02
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $114.82 / $912.01	Professional	TC	$67.61	$114.82	$912.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $229.09 / $363.08	Professional		$208.93	$229.09	$363.08
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $87.10 / $134.90	Professional	26	$77.62	$87.10	$134.90
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $144.54 / $234.42	Professional	TC	$123.03	$144.54	$234.42
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	26	$218.78	$218.78	$218.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $295.12 / $363.08	Professional		$234.42	$295.12	$363.08
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $204.17 / $275.42	Professional	TC	$147.91	$204.17	$275.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $87.10 / $186.21	Professional		$41.69	$87.10	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $177.83 / $263.03	Professional		$104.71	$177.83	$263.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $109.65 / $162.18	Professional	TC	$60.26	$109.65	$162.18