Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.40 / $438.33 / $738.84	Facility	26	$81.40	$438.33	$738.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.66 / $475.00 / $2,252.02	Professional		$328.66	$475.00	$2,252.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.40 / $140.00 / $463.00	Professional	26	$81.40	$140.00	$463.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $247.26 / $268.88 / $1,747.83	Professional	TC	$247.26	$268.88	$1,747.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $597.75 / $638.94 / $680.33	Professional		$597.75	$638.94	$680.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $148.66 / $158.90 / $168.50	Professional	26	$148.66	$158.90	$168.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $449.10 / $480.04 / $511.82	Professional	TC	$449.10	$480.04	$511.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $468.90 / $468.90 / $468.90	Facility	26	$468.90	$468.90	$468.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.49 / $761.00 / $1,004.53	Professional		$441.49	$761.00	$1,004.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.37 / $186.00 / $239.50	Professional	26	$107.37	$186.00	$239.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $334.12 / $571.67 / $802.00	Professional	TC	$334.12	$571.67	$802.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $789.92 / $789.92 / $789.92	Facility	26	$789.92	$789.92	$789.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $541.62 / $729.41 / $3,007.15	Professional		$541.62	$729.41	$3,007.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $103.70 / $172.57 / $848.54	Professional	26	$103.70	$172.57	$848.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $411.33 / $558.24 / $2,544.17	Professional	TC	$411.33	$558.24	$2,544.17
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $274.97 / $282.98 / $468.90	Facility	26	$274.97	$282.98	$468.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $647.38 / $821.26 / $1,073.68	Professional		$647.38	$821.26	$1,073.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $84.68 / $272.56 / $562.01	Professional		$84.68	$272.56	$562.01
United Facility/Professional Professional Modifier Low / Median / High Price $433.30 / $696.76 / $902.70	Professional		$433.30	$696.76	$902.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.24 / $169.38 / $217.15	Professional	26	$104.24	$169.38	$217.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $411.33 / $524.19 / $685.55	Professional	TC	$411.33	$524.19	$685.55