Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.18 / $236.01 / $640.63	Facility	26	$73.18	$236.01	$640.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.55 / $164.63 / $880.00	Professional		$155.55	$164.63	$880.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.59 / $72.04 / $178.11	Professional	26	$67.59	$72.04	$178.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.85 / $323.75 / $335.19	Professional		$302.85	$323.75	$335.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $133.44 / $144.08 / $147.68	Professional	26	$133.44	$144.08	$147.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $425.22 / $425.22 / $425.22	Facility	26	$425.22	$425.22	$425.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.47 / $374.92 / $511.96	Professional		$138.47	$374.92	$511.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.31 / $166.49 / $219.14	Professional	26	$67.31	$166.49	$219.14
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $343.65 / $343.65 / $343.65	Facility	26	$343.65	$343.65	$343.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.44 / $290.75 / $1,115.94	Professional		$199.44	$290.75	$1,115.94
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $92.14 / $136.78 / $476.34	Professional	26	$92.14	$136.78	$476.34
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $238.20 / $245.14 / $425.22	Facility	26	$238.20	$245.14	$425.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $287.00 / $358.51 / $452.29	Professional		$287.00	$358.51	$452.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $242.00 / $316.00 / $464.40	Professional		$242.00	$316.00	$464.40
United Facility/Professional Professional Modifier Low / Median / High Price $199.73 / $328.44 / $416.10	Professional		$199.73	$328.44	$416.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $92.14 / $146.00 / $186.66	Professional	26	$92.14	$146.00	$186.66