Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $108.93 / $632.10	Professional		$101.29	$108.93	$632.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.82 / $17.88 / $106.59	Professional	26	$16.82	$17.88	$106.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.45 / $91.05 / $525.51	Professional	TC	$84.45	$91.05	$525.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.44 / $216.58 / $221.99	Professional		$194.44	$216.58	$221.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.38 / $35.68 / $36.57	Professional	26	$33.38	$35.68	$36.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.40 / $180.90 / $185.41	Professional	TC	$162.40	$180.90	$185.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.32 / $234.12 / $323.85	Professional		$109.32	$234.12	$323.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.82 / $41.01 / $53.33	Professional	26	$21.82	$41.01	$53.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $82.00 / $194.28 / $270.52	Professional	TC	$82.00	$194.28	$270.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.27 / $196.41 / $751.09	Professional		$90.27	$196.41	$751.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.94 / $35.65 / $205.00	Professional	26	$21.94	$35.65	$205.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $73.61 / $160.76 / $630.88	Professional	TC	$73.61	$160.76	$630.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $222.08 / $272.69	Professional		$108.00	$222.08	$272.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.10 / $102.22 / $199.94	Professional		$21.10	$102.22	$199.94
United Facility/Professional Professional Modifier Low / Median / High Price $90.27 / $194.09 / $247.07	Professional		$90.27	$194.09	$247.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.94 / $35.65 / $44.84	Professional	26	$21.94	$35.65	$44.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $98.92 / $160.76 / $202.23	Professional	TC	$98.92	$160.76	$202.23