Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.20 / $425.36 / $716.98	Facility	26	$79.20	$425.36	$716.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.04 / $264.62 / $1,449.92	Professional		$220.04	$264.62	$1,449.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.68 / $81.05 / $402.00	Professional	26	$75.68	$81.05	$402.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $140.83 / $191.62 / $948.66	Professional	TC	$140.83	$191.62	$948.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $404.63 / $432.51 / $455.48	Professional		$404.63	$432.51	$455.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $144.78 / $154.75 / $163.96	Professional	26	$144.78	$154.75	$163.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $259.88 / $277.77 / $291.51	Professional	TC	$259.88	$277.77	$291.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $456.66 / $456.66 / $456.66	Facility	26	$456.66	$456.66	$456.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.83 / $504.95 / $678.74	Professional		$300.83	$504.95	$678.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.35 / $181.91 / $233.68	Professional	26	$104.35	$181.91	$233.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $196.49 / $323.05 / $445.06	Professional	TC	$196.49	$323.05	$445.06
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $768.32 / $768.32 / $768.32	Facility	26	$768.32	$768.32	$768.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $303.45 / $466.48 / $1,515.48	Professional		$303.45	$466.48	$1,515.48
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $96.93 / $167.93 / $521.79	Professional	26	$96.93	$167.93	$521.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $193.45 / $302.93 / $993.68	Professional	TC	$193.45	$302.93	$993.68
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $261.83 / $269.45 / $456.66	Facility	26	$261.83	$269.45	$456.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $417.81 / $544.94 / $687.58	Professional		$417.81	$544.94	$687.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.22 / $244.03 / $425.48	Professional		$90.22	$244.03	$425.48
United Facility/Professional Professional Modifier Low / Median / High Price $280.12 / $462.08 / $567.47	Professional		$280.12	$462.08	$567.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $101.55 / $165.01 / $205.71	Professional	26	$101.55	$165.01	$205.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $193.45 / $298.55 / $372.03	Professional	TC	$193.45	$298.55	$372.03