Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.94 / $109.79 / $298.87	Facility	26	$30.94	$109.79	$298.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.78 / $70.64 / $579.37	Professional		$67.78	$70.64	$579.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.80 / $30.94 / $206.37	Professional	26	$28.80	$30.94	$206.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.19 / $39.69 / $373.00	Professional	TC	$39.19	$39.69	$373.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.53 / $139.86 / $143.36	Professional		$129.53	$139.86	$143.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.39 / $60.89 / $62.42	Professional	26	$56.39	$60.89	$62.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $73.12 / $78.95 / $80.93	Professional	TC	$73.12	$78.95	$80.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $179.76 / $179.76 / $179.76	Facility	26	$179.76	$179.76	$179.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.82 / $161.93 / $221.35	Professional		$82.82	$161.93	$221.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.87 / $70.37 / $93.08	Professional	26	$30.87	$70.37	$93.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.05 / $93.68 / $137.03	Professional	TC	$56.05	$93.68	$137.03
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $145.31 / $145.31 / $145.31	Facility	26	$145.31	$145.31	$145.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.71 / $150.22 / $583.91	Professional		$99.71	$150.22	$583.91
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $39.61 / $64.09 / $335.18	Professional	26	$39.61	$64.09	$335.18
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $60.85 / $87.54 / $353.01	Professional	TC	$60.85	$87.54	$353.01
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $108.45 / $111.61 / $179.76	Facility	26	$108.45	$111.61	$179.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $141.71 / $184.37 / $227.99	Professional		$141.71	$184.37	$227.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $156.60 / $183.90 / $211.50	Professional		$156.60	$183.90	$211.50
United Facility/Professional Professional Modifier Low / Median / High Price $101.41 / $149.76 / $228.25	Professional		$101.41	$149.76	$228.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.61 / $61.73 / $86.06	Professional	26	$39.61	$61.73	$86.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.19 / $83.37 / $142.19	Professional	TC	$70.19	$83.37	$142.19