Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.14 / $325.72 / $549.02	Facility	26	$65.14	$325.72	$549.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $89.18 / $534.04	Professional		$89.18	$89.18	$534.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.34 / $64.34 / $386.69	Professional	26	$64.34	$64.34	$386.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.94 / $177.72 / $182.16	Professional		$167.94	$177.72	$182.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $120.45 / $127.45 / $130.65	Professional	26	$120.45	$127.45	$130.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $376.14 / $376.14 / $376.14	Facility	26	$376.14	$376.14	$376.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.06 / $212.07 / $277.31	Professional		$180.06	$212.07	$277.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $129.13 / $155.91 / $194.89	Professional	26	$129.13	$155.91	$194.89
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $305.79 / $305.79 / $305.79	Facility	26	$305.79	$305.79	$305.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.53 / $189.06 / $1,748.00	Professional		$116.53	$189.06	$1,748.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $86.54 / $136.40 / $496.08	Professional	26	$86.54	$136.40	$496.08
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $207.76 / $213.81 / $376.14	Facility	26	$207.76	$213.81	$376.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $179.88 / $205.40 / $323.79	Professional		$179.88	$205.40	$323.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $159.40 / $238.30 / $503.00	Professional		$159.40	$238.30	$503.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.53 / $173.73 / $224.10	Professional		$116.53	$173.73	$224.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.54 / $128.28 / $161.83	Professional	26	$86.54	$128.28	$161.83