Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $186.21 / $263.03 / $794.33	Facility	26	$186.21	$263.03	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $75.86 / $190.55	Professional		$58.88	$75.86	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $128.82 / $134.90	Professional		$120.23	$128.82	$134.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	26	$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $162.18 / $251.19	Professional		$53.70	$162.18	$251.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $331.13 / $331.13 / $331.13	Facility	26	$331.13	$331.13	$331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $891.25	Professional		$102.33	$169.82	$891.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $147.91 / $251.19	Professional		$131.83	$147.91	$251.19
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $85.11 / $134.90	Professional	26	$75.86	$85.11	$134.90
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	26	$218.78	$218.78	$218.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $269.15	Professional		$147.91	$186.21	$269.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $309.03 / $416.87	Professional		$181.97	$309.03	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $288.40	Professional		$102.33	$144.54	$288.40