Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.97 / $172.03 / $289.98	Facility	26	$35.97	$172.03	$289.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.46 / $91.41 / $115.31	Professional		$90.46	$91.41	$115.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.97 / $176.34 / $180.75	Professional		$164.97	$176.34	$180.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $208.08 / $208.08 / $208.08	Facility	26	$208.08	$208.08	$208.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.42 / $209.47 / $275.37	Professional		$109.42	$209.47	$275.37
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $169.56 / $169.56 / $169.56	Facility	26	$169.56	$169.56	$169.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.02 / $186.80 / $767.00	Professional		$111.02	$186.80	$767.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $110.09 / $113.29 / $208.08	Facility	26	$110.09	$113.29	$208.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $178.66 / $218.16 / $264.02	Professional		$178.66	$218.16	$264.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $124.90 / $209.70 / $320.50	Professional		$124.90	$209.70	$320.50
United Facility/Professional Professional Modifier Low / Median / High Price $111.02 / $180.47 / $226.95	Professional		$111.02	$180.47	$226.95