Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.22 / $117.04 / $197.27	Facility	26	$22.22	$117.04	$197.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.99 / $132.06 / $757.49	Professional		$127.99	$132.06	$757.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $110.02 / $173.79 / $228.84	Professional	TC	$110.02	$173.79	$228.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.90 / $260.54 / $267.05	Professional		$233.90	$260.54	$267.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $194.91 / $217.12 / $222.55	Professional	TC	$194.91	$217.12	$222.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.10 / $128.10 / $128.10	Facility	26	$128.10	$128.10	$128.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.93 / $294.93 / $410.15	Professional		$130.93	$294.93	$410.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $105.83 / $245.85 / $344.22	Professional	TC	$105.83	$245.85	$344.22
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $104.46 / $104.46 / $104.46	Facility	26	$104.46	$104.46	$104.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $145.19 / $235.93 / $923.37	Professional		$145.19	$235.93	$923.37
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $114.37 / $190.18 / $778.42	Professional	TC	$114.37	$190.18	$778.42
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $76.31 / $78.54 / $128.10	Facility	26	$76.31	$78.54	$128.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $178.00 / $268.23 / $351.50	Professional		$178.00	$268.23	$351.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $130.86 / $253.39	Professional		$25.90	$130.86	$253.39
United Facility/Professional Professional Modifier Low / Median / High Price $145.19 / $207.38 / $296.79	Professional		$145.19	$207.38	$296.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.04 / $190.18 / $239.24	Professional	TC	$117.04	$190.18	$239.24