Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.72 / $424.05 / $714.77	Facility	26	$78.72	$424.05	$714.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.97 / $475.00 / $1,989.34	Professional		$295.97	$475.00	$1,989.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.72 / $145.65 / $202.88	Professional	26	$78.72	$145.65	$202.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $217.25 / $217.25 / $1,552.41	Professional	TC	$217.25	$217.25	$1,552.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.25 / $574.25 / $612.65	Professional		$537.25	$574.25	$612.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $143.72 / $153.62 / $162.94	Professional	26	$143.72	$153.62	$162.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $393.51 / $420.62 / $449.70	Professional	TC	$393.51	$420.62	$449.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $453.36 / $453.36 / $453.36	Facility	26	$453.36	$453.36	$453.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.90 / $684.56 / $1,040.41	Professional		$416.90	$684.56	$1,040.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.34 / $180.53 / $231.74	Professional	26	$104.34	$180.53	$231.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $341.24 / $504.03 / $765.31	Professional	TC	$341.24	$504.03	$765.31
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $764.32 / $764.32 / $764.32	Facility	26	$764.32	$764.32	$764.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $491.93 / $734.30 / $3,392.38	Professional		$491.93	$734.30	$3,392.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $99.55 / $166.89 / $667.05	Professional	26	$99.55	$166.89	$667.05
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $365.43 / $608.61 / $2,981.99	Professional	TC	$365.43	$608.61	$2,981.99
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $264.32 / $272.02 / $453.36	Facility	26	$264.32	$272.02	$453.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $581.83 / $797.35 / $1,059.00	Professional		$581.83	$797.35	$1,059.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.09 / $280.56 / $500.80	Professional		$82.09	$280.56	$500.80
United Facility/Professional Professional Modifier Low / Median / High Price $491.93 / $707.49 / $824.67	Professional		$491.93	$707.49	$824.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $99.55 / $164.44 / $210.83	Professional	26	$99.55	$164.44	$210.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $365.43 / $535.96 / $623.38	Professional	TC	$365.43	$535.96	$623.38