Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $154.88 / $478.63	Facility	26	$112.20	$154.88	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $58.88 / $131.83	Professional		$46.77	$58.88	$131.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $36.31 / $70.79	Professional	26	$28.84	$36.31	$70.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.54 / $144.54 / $144.54	Professional	50	$144.54	$144.54	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $107.15 / $112.20	Professional		$100.00	$107.15	$112.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $66.07 / $70.79	Professional	26	$61.66	$66.07	$70.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $199.53 / $199.53	Facility	26	$199.53	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $125.89 / $190.55	Professional		$45.71	$125.89	$190.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $77.62 / $104.71	Professional	26	$28.18	$77.62	$104.71
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $199.53 / $199.53	Facility	26	$199.53	$199.53	$199.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $114.82 / $691.83	Professional		$70.79	$114.82	$691.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $66.07 / $302.00	Professional	26	$42.66	$66.07	$302.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $123.03 / $190.55	Professional		$109.65	$123.03	$190.55
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $77.62 / $120.23	Professional	26	$69.18	$77.62	$120.23
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $199.53 / $199.53	Facility	26	$199.53	$199.53	$199.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $229.09	Professional		$123.03	$190.55	$229.09
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $97.72 / $100.00	Professional	26	$77.62	$97.72	$100.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $169.82 / $239.88	Professional		$147.91	$169.82	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $177.83	Professional		$70.79	$109.65	$177.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $61.66 / $95.50	Professional	26	$42.66	$61.66	$95.50