Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.97 / $74.55 / $125.67	Facility	26	$13.97	$74.55	$125.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.57 / $51.24 / $290.00	Professional		$41.57	$51.24	$290.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.50 / $13.97 / $81.00	Professional	26	$13.50	$13.97	$81.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.43 / $37.71 / $220.00	Professional	TC	$34.43	$37.71	$220.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.79 / $98.12 / $100.56	Professional		$91.79	$98.12	$100.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.17 / $26.89 / $28.92	Professional	26	$25.17	$26.89	$28.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $66.62 / $71.20 / $73.00	Professional	TC	$66.62	$71.20	$73.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.38 / $79.38 / $79.38	Facility	26	$79.38	$79.38	$79.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.10 / $115.28 / $158.05	Professional		$54.10	$115.28	$158.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.17 / $31.95 / $39.75	Professional	26	$16.17	$31.95	$39.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.23 / $85.40 / $118.29	Professional	TC	$43.23	$85.40	$118.29
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $70.00 / $70.00 / $70.00	Facility	26	$70.00	$70.00	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.78 / $96.99 / $325.58	Professional		$50.78	$96.99	$325.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.45 / $28.35 / $91.83	Professional	26	$17.45	$28.35	$91.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $42.24 / $68.64 / $233.75	Professional	TC	$42.24	$68.64	$233.75
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $50.26 / $51.73 / $79.38	Facility	26	$50.26	$51.73	$79.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $96.33 / $115.28 / $139.76	Professional		$96.33	$115.28	$139.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $48.24 / $91.78	Professional		$14.72	$48.24	$91.78
United Facility/Professional Professional Modifier Low / Median / High Price $59.69 / $96.99 / $124.35	Professional		$59.69	$96.99	$124.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.45 / $28.02 / $36.35	Professional	26	$17.45	$28.02	$36.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.24 / $68.69 / $88.00	Professional	TC	$42.24	$68.69	$88.00