Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.77 / $441.95 / $744.94	Facility	26	$81.77	$441.95	$744.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.86 / $356.22 / $2,290.88	Professional		$326.86	$356.22	$2,290.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.77 / $81.77 / $508.16	Professional	26	$81.77	$81.77	$508.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.09 / $245.09 / $1,737.41	Professional	TC	$245.09	$245.09	$1,737.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $595.76 / $636.82 / $676.60	Professional		$595.76	$636.82	$676.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $149.52 / $159.81 / $169.25	Professional	26	$149.52	$159.81	$169.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $446.25 / $477.00 / $507.33	Professional	TC	$446.25	$477.00	$507.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $471.66 / $471.66 / $471.66	Facility	26	$471.66	$471.66	$471.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.41 / $761.10 / $1,004.53	Professional		$440.41	$761.10	$1,004.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.84 / $186.84 / $241.44	Professional	26	$107.84	$186.84	$241.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $332.57 / $569.75 / $802.00	Professional	TC	$332.57	$569.75	$802.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $795.52 / $795.52 / $795.52	Facility	26	$795.52	$795.52	$795.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $540.24 / $729.41 / $3,018.44	Professional		$540.24	$729.41	$3,018.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $104.93 / $173.35 / $850.86	Professional	26	$104.93	$173.35	$850.86
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $408.87 / $554.89 / $2,546.60	Professional	TC	$408.87	$554.89	$2,546.60
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $276.89 / $284.95 / $471.66	Facility	26	$276.89	$284.95	$471.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $645.21 / $816.64 / $1,067.68	Professional		$645.21	$816.64	$1,067.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.33 / $305.76 / $564.22	Professional		$86.33	$305.76	$564.22
United Facility/Professional Professional Modifier Low / Median / High Price $432.19 / $702.31 / $900.40	Professional		$432.19	$702.31	$900.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.93 / $170.78 / $218.95	Professional	26	$104.93	$170.78	$218.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $327.08 / $554.89 / $681.45	Professional	TC	$327.08	$554.89	$681.45