Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.83 / $153.99 / $259.56	Facility	26	$26.83	$153.99	$259.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.43 / $84.15 / $563.69	Professional		$80.43	$84.15	$563.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.16 / $57.33 / $389.70	Professional	TC	$56.16	$57.33	$389.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.53 / $165.18 / $169.31	Professional		$154.53	$165.18	$169.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $105.84 / $113.14 / $115.97	Professional	TC	$105.84	$113.14	$115.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $153.60 / $153.60 / $153.60	Facility	26	$153.60	$153.60	$153.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.31 / $192.09 / $257.92	Professional		$99.31	$192.09	$257.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.28 / $131.22 / $179.38	Professional	TC	$69.28	$131.22	$179.38
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $124.11 / $124.11 / $124.11	Facility	26	$124.11	$124.11	$124.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $176.96 / $673.71	Professional		$108.90	$176.96	$673.71
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $73.34 / $120.37 / $514.25	Professional	TC	$73.34	$120.37	$514.25
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $97.67 / $100.52 / $153.60	Facility	26	$97.67	$100.52	$153.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $139.00 / $188.34 / $242.47	Professional		$139.00	$188.34	$242.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $63.64 / $160.88	Professional		$30.29	$63.64	$160.88
United Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $174.88 / $226.88	Professional		$108.90	$174.88	$226.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $73.34 / $117.78 / $152.80	Professional	TC	$73.34	$117.78	$152.80