Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.29 / $204.06 / $343.96	Facility	26	$38.29	$204.06	$343.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.12 / $103.15 / $592.85	Professional		$98.12	$103.15	$592.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.12 / $65.06 / $362.53	Professional	TC	$63.12	$65.06	$362.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.33 / $200.16 / $207.22	Professional		$185.33	$200.16	$207.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $114.18 / $125.91 / $130.36	Professional	TC	$114.18	$125.91	$130.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $221.28 / $221.28 / $221.28	Facility	26	$221.28	$221.28	$221.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.71 / $235.67 / $331.04	Professional		$105.71	$235.67	$331.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.89 / $148.91 / $232.09	Professional	TC	$61.89	$148.91	$232.09
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $180.13 / $180.13 / $180.13	Facility	26	$180.13	$180.13	$180.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.79 / $216.62 / $1,114.04	Professional		$115.79	$216.62	$1,114.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $68.22 / $136.65 / $909.46	Professional	TC	$68.22	$136.65	$909.46
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $127.62 / $131.33 / $221.28	Facility	26	$127.62	$131.33	$221.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $178.46 / $230.56 / $329.83	Professional		$178.46	$230.56	$329.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $95.31 / $186.16	Professional		$40.86	$95.31	$186.16
United Facility/Professional Professional Modifier Low / Median / High Price $115.79 / $205.78 / $264.11	Professional		$115.79	$205.78	$264.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $68.22 / $110.36 / $143.47	Professional	TC	$68.22	$110.36	$143.47