Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.26 / $151.60 / $410.39	Facility	26	$57.26	$151.60	$410.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.25 / $209.97 / $1,285.90	Professional		$195.25	$209.97	$1,285.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.70 / $57.26 / $110.75	Professional	26	$49.70	$57.26	$110.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $379.45 / $405.60 / $419.94	Professional		$379.45	$405.60	$419.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.93 / $112.16 / $114.95	Professional	26	$104.93	$112.16	$114.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $331.02 / $331.02 / $331.02	Facility	26	$331.02	$331.02	$331.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.13 / $479.83 / $632.20	Professional		$225.13	$479.83	$632.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.27 / $125.95 / $168.71	Professional	26	$68.27	$125.95	$168.71
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $267.93 / $267.93 / $267.93	Facility	26	$267.93	$267.93	$267.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $220.65 / $404.14 / $1,471.51	Professional		$220.65	$404.14	$1,471.51
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $62.97 / $119.26 / $378.45	Professional	26	$62.97	$119.26	$378.45
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $150.84 / $155.24 / $331.02	Facility	26	$150.84	$155.24	$331.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.00 / $437.77 / $581.96	Professional		$245.00	$437.77	$581.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.61 / $165.50 / $393.94	Professional		$64.61	$165.50	$393.94
United Facility/Professional Professional Modifier Low / Median / High Price $220.65 / $399.38 / $508.38	Professional		$220.65	$399.38	$508.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.39 / $114.23 / $150.03	Professional	26	$73.39	$114.23	$150.03