Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.54 / $426.32 / $718.59	Facility	26	$88.54	$426.32	$718.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.41 / $190.34 / $416.75	Professional		$146.41	$190.34	$416.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.76 / $86.92 / $386.07	Professional	26	$77.76	$86.92	$386.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $288.60 / $303.08	Professional		$270.00	$288.60	$303.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $159.96 / $170.97 / $175.25	Professional	26	$159.96	$170.97	$175.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $504.54 / $504.54 / $504.54	Facility	26	$504.54	$504.54	$504.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.42 / $344.38 / $529.83	Professional		$185.42	$344.38	$529.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.34 / $199.29 / $255.01	Professional	26	$106.34	$199.29	$255.01
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $419.33 / $419.33 / $419.33	Facility	26	$419.33	$419.33	$419.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $191.76 / $322.86 / $3,391.09	Professional		$191.76	$322.86	$3,391.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $111.73 / $181.56 / $632.75	Professional	26	$111.73	$181.56	$632.75
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $271.24 / $279.14 / $504.54	Facility	26	$271.24	$279.14	$504.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $292.39 / $365.46 / $702.71	Professional		$292.39	$365.46	$702.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.04 / $119.06 / $269.04	Professional		$60.04	$119.06	$269.04
United Facility/Professional Professional Modifier Low / Median / High Price $191.76 / $312.70 / $491.24	Professional		$191.76	$312.70	$491.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $111.73 / $173.41 / $228.40	Professional	26	$111.73	$173.41	$228.40