Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.19 / $499.06 / $841.20	Facility	26	$102.19	$499.06	$841.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.68 / $441.88 / $2,638.87	Professional		$385.68	$441.88	$2,638.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.68 / $213.87 / $545.00	Professional	26	$100.68	$213.87	$545.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $285.00 / $285.00 / $2,031.95	Professional	TC	$285.00	$285.00	$2,031.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $705.79 / $754.41 / $773.27	Professional		$705.79	$754.41	$773.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $186.06 / $198.88 / $203.84	Professional	26	$186.06	$198.88	$203.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $519.74 / $555.53 / $569.41	Professional	TC	$519.74	$555.53	$569.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $586.86 / $586.86 / $586.86	Facility	26	$586.86	$586.86	$586.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $609.00 / $949.89 / $1,188.76	Professional		$609.00	$949.89	$1,188.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $146.01 / $244.35 / $305.43	Professional	26	$146.01	$244.35	$305.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $464.00 / $699.49 / $883.33	Professional	TC	$464.00	$699.49	$883.33
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $479.89 / $479.89 / $479.89	Facility	26	$479.89	$479.89	$479.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $491.01 / $817.64 / $2,670.75	Professional		$491.01	$817.64	$2,670.75
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $123.38 / $202.64 / $657.16	Professional	26	$123.38	$202.64	$657.16
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $367.63 / $604.20 / $2,013.59	Professional	TC	$367.63	$604.20	$2,013.59
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $359.94 / $370.43 / $586.86	Facility	26	$359.94	$370.43	$586.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $726.75 / $897.93 / $1,187.11	Professional		$726.75	$897.93	$1,187.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $116.92 / $320.74 / $737.87	Professional		$116.92	$320.74	$737.87
United Facility/Professional Professional Modifier Low / Median / High Price $507.31 / $817.64 / $1,056.90	Professional		$507.31	$817.64	$1,056.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $124.70 / $200.86 / $259.80	Professional	26	$124.70	$200.86	$259.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $382.61 / $604.20 / $797.10	Professional	TC	$382.61	$604.20	$797.10