Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.91 / $94.33 / $256.76	Facility	26	$28.91	$94.33	$256.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.32 / $70.01 / $108.10	Professional		$62.32	$70.01	$108.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.28 / $28.91 / $173.53	Professional	26	$26.28	$28.91	$173.53
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.71 / $31.67 / $193.05	Professional	52	$30.71	$31.67	$193.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.43 / $43.74 / $63.42	Professional	TC	$34.43	$43.74	$63.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.34 / $126.68 / $129.87	Professional		$117.34	$126.68	$129.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.68 / $56.89 / $58.32	Professional	26	$52.68	$56.89	$58.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.64 / $69.09 / $71.54	Professional	TC	$64.64	$69.09	$71.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $167.94 / $167.94 / $167.94	Facility	26	$167.94	$167.94	$167.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $145.18 / $199.74	Professional		$62.75	$145.18	$199.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.90 / $65.69 / $87.27	Professional	26	$26.90	$65.69	$87.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.18 / $77.40 / $112.48	Professional	TC	$38.18	$77.40	$112.48
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $136.22 / $136.22 / $136.22	Facility	26	$136.22	$136.22	$136.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $122.83 / $497.00	Professional		$75.59	$122.83	$497.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.29 / $55.60 / $320.31	Professional	26	$33.29	$55.60	$320.31
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $39.10 / $63.53 / $320.31	Professional	TC	$39.10	$63.53	$320.31
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $96.15 / $98.95 / $167.94	Facility	26	$96.15	$98.95	$167.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.38 / $149.29 / $172.88	Professional		$128.38	$149.29	$172.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $162.10 / $186.40	Professional		$128.69	$162.10	$186.40
United Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $122.83 / $153.13	Professional		$75.59	$122.83	$153.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.75 / $57.68 / $73.93	Professional	26	$35.75	$57.68	$73.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.10 / $68.68 / $81.45	Professional	TC	$39.10	$68.68	$81.45