Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.08 / $209.94 / $353.87	Facility	26	$38.08	$209.94	$353.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.24 / $104.38 / $617.92	Professional		$100.24	$104.38	$617.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.60 / $38.08 / $240.74	Professional	26	$35.60	$38.08	$240.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.25 / $206.46 / $211.62	Professional		$189.25	$206.46	$211.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.59 / $74.37 / $78.81	Professional	26	$69.59	$74.37	$78.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $219.48 / $219.48 / $219.48	Facility	26	$219.48	$219.48	$219.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.94 / $240.80 / $375.87	Professional		$109.94	$240.80	$375.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.28 / $87.63 / $112.48	Professional	26	$46.28	$87.63	$112.48
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $178.64 / $178.64 / $178.64	Facility	26	$178.64	$178.64	$178.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.52 / $221.29 / $1,963.99	Professional		$120.52	$221.29	$1,963.99
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $49.54 / $79.97 / $549.82	Professional	26	$49.54	$79.97	$549.82
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $133.16 / $137.05 / $219.48	Facility	26	$133.16	$137.05	$219.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $188.12 / $236.26 / $375.87	Professional		$188.12	$236.26	$375.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.81 / $99.65 / $200.40	Professional		$40.81	$99.65	$200.40
United Facility/Professional Professional Modifier Low / Median / High Price $120.52 / $219.20 / $269.67	Professional		$120.52	$219.20	$269.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.54 / $79.97 / $101.26	Professional	26	$49.54	$79.97	$101.26