Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.23 / $119.35 / $201.17	Facility	26	$22.23	$119.35	$201.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.56 / $126.99 / $744.93	Professional		$101.56	$126.99	$744.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.87 / $22.23 / $137.96	Professional	26	$20.87	$22.23	$137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.03 / $247.91 / $254.12	Professional		$230.03	$247.91	$254.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.78 / $43.60 / $46.02	Professional	26	$40.78	$43.60	$46.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.69 / $128.69 / $128.69	Facility	26	$128.69	$128.69	$128.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $282.52 / $390.76	Professional		$128.82	$282.52	$390.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.47 / $50.66 / $64.95	Professional	26	$26.47	$50.66	$64.95
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $110.00 / $110.00 / $110.00	Facility	26	$110.00	$110.00	$110.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.63 / $232.09 / $893.01	Professional		$134.63	$232.09	$893.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $28.55 / $46.39 / $188.00	Professional	26	$28.55	$46.39	$188.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $74.58 / $76.75 / $128.69	Facility	26	$74.58	$76.75	$128.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $161.00 / $254.23 / $319.67	Professional		$161.00	$254.23	$319.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $117.53 / $241.29	Professional		$25.33	$117.53	$241.29
United Facility/Professional Professional Modifier Low / Median / High Price $134.63 / $229.35 / $291.95	Professional		$134.63	$229.35	$291.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.55 / $44.35 / $58.36	Professional	26	$28.55	$44.35	$58.36