Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $162.18 / $501.19	Facility	26	$114.82	$162.18	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $275.42	Professional		$104.71	$123.03	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $218.78 / $234.42	Professional		$208.93	$218.78	$234.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $288.40 / $288.40 / $288.40	Facility	26	$288.40	$288.40	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $281.84 / $407.38	Professional		$102.33	$281.84	$407.38
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $245.47 / $245.47 / $245.47	Facility	26	$245.47	$245.47	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $257.04 / $3,090.30	Professional		$147.91	$257.04	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $257.04 / $407.38	Professional		$112.20	$257.04	$407.38
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $123.03 / $177.83	Professional	26	$100.00	$123.03	$177.83
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $288.40 / $288.40 / $288.40	Facility	26	$288.40	$288.40	$288.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $407.38 / $954.99	Professional		$257.04	$407.38	$954.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $112.20 / $213.80	Professional		$56.23	$112.20	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $234.42 / $478.63	Professional		$134.90	$234.42	$478.63