Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.15 / $162.31 / $442.17	Facility	26	$34.15	$162.31	$442.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.05 / $89.23 / $107.83	Professional		$54.05	$89.23	$107.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.15 / $44.85 / $52.56	Professional	26	$34.15	$44.85	$52.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.20 / $107.12 / $109.80	Professional		$99.20	$107.12	$109.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.27 / $67.23 / $68.92	Professional	26	$62.27	$67.23	$68.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $198.42 / $198.42 / $198.42	Facility	26	$198.42	$198.42	$198.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.54 / $127.13 / $191.35	Professional		$76.54	$127.13	$191.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.14 / $80.15 / $101.81	Professional	26	$31.14	$80.15	$101.81
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $198.30 / $198.30 / $198.30	Facility	26	$198.30	$198.30	$198.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $115.16 / $696.80	Professional		$75.23	$115.16	$696.80
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $43.90 / $68.91 / $305.45	Professional	26	$43.90	$68.91	$305.45
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $161.35 / $166.05 / $198.42	Facility	26	$161.35	$166.05	$198.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.83 / $154.75 / $207.60	Professional		$109.83	$154.75	$207.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $156.10 / $217.20	Professional		$148.10	$156.10	$217.20
United Facility/Professional Professional Modifier Low / Median / High Price $70.87 / $115.16 / $159.33	Professional		$70.87	$115.16	$159.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.41 / $68.13 / $88.35	Professional	26	$42.41	$68.13	$88.35