Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $83.18 / $257.04	Facility	26	$60.26	$83.18	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $131.83 / $316.23	Professional		$109.65	$131.83	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $229.09 / $239.88	Professional		$213.80	$229.09	$239.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $151.36 / $151.36 / $151.36	Facility	26	$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $239.88 / $371.54	Professional		$97.72	$239.88	$371.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $123.03 / $123.03	Facility	26	$123.03	$123.03	$123.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $870.96	Professional		$112.20	$177.83	$870.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $263.03 / $426.58	Professional		$239.88	$263.03	$426.58
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $58.88 / $91.20	Professional	26	$52.48	$58.88	$91.20
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $151.36 / $151.36 / $151.36	Facility	26	$151.36	$151.36	$151.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $194.98 / $426.58	Professional		$181.97	$194.98	$426.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $107.15 / $229.09	Professional		$29.51	$107.15	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $275.42	Professional		$112.20	$177.83	$275.42