Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $14.61 / $268.13	Facility		$10.50	$14.61	$268.13
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.31 / $29.70 / $80.50	Facility	26	$7.31	$29.70	$80.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $16.79 / $60.00	Professional		$9.73	$16.79	$60.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.31 / $8.25 / $24.38	Professional	26	$7.31	$8.25	$24.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.36 / $29.65 / $29.65	Professional	50	$11.36	$29.65	$29.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.19 / $3.89 / $5.64	Professional	TC	$3.19	$3.89	$5.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.73 / $99.94 / $187.61	Facility		$73.73	$99.94	$187.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $20.71 / $21.23	Professional		$19.19	$20.71	$21.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.34 / $14.40 / $14.76	Professional	26	$13.34	$14.40	$14.76
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $5.83 / $6.29 / $6.45	Professional	TC	$5.83	$6.29	$6.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.14 / $61.14 / $61.14	Facility		$61.14	$61.14	$61.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.54 / $42.54 / $42.54	Facility	26	$42.54	$42.54	$42.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $24.20 / $31.03	Professional		$11.32	$24.20	$31.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $16.78 / $21.33	Professional	26	$6.98	$16.78	$21.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.87 / $7.65 / $9.69	Professional	TC	$3.87	$7.65	$9.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $19.95 / $40.81	Facility		$10.50	$19.95	$40.81
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $21.76 / $1,428.44	Professional		$13.39	$21.76	$1,428.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.34 / $15.17 / $1,274.28	Professional	26	$9.34	$15.17	$1,274.28
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $3.71 / $6.59 / $988.10	Professional	TC	$3.71	$6.59	$988.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.99 / $25.49 / $46.31	Facility		$20.99	$25.49	$46.31
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $30.33 / $31.22 / $42.54	Facility	26	$30.33	$31.22	$42.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $26.09 / $30.95	Professional		$20.99	$26.09	$30.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $27.60 / $31.70	Professional		$19.39	$27.60	$31.70
United Facility/Professional Facility Modifier Low / Median / High Price $30.49 / $31.87 / $41.62	Facility		$30.49	$31.87	$41.62
United Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $20.95 / $27.13	Professional		$13.39	$20.95	$27.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.34 / $14.99 / $18.91	Professional	26	$9.34	$14.99	$18.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.97 / $6.51 / $8.22	Professional	TC	$3.97	$6.51	$8.22