Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.64 / $236.59 / $398.78	Facility	26	$48.64	$236.59	$398.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.34 / $88.34 / $545.80	Professional		$88.34	$88.34	$545.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.03 / $110.87 / $238.00	Professional	26	$48.03	$110.87	$238.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.31 / $40.31 / $255.99	Professional	TC	$40.31	$40.31	$255.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.63 / $175.97 / $180.38	Professional		$164.63	$175.97	$180.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $88.48 / $94.57 / $96.93	Professional	26	$88.48	$94.57	$96.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $76.15 / $81.40 / $83.43	Professional	TC	$76.15	$81.40	$83.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $279.12 / $279.12 / $279.12	Facility	26	$279.12	$279.12	$279.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.29 / $213.75 / $277.31	Professional		$178.29	$213.75	$277.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.00 / $115.58 / $144.47	Professional	26	$78.00	$115.58	$144.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $82.46 / $99.63 / $132.84	Professional	TC	$82.46	$99.63	$132.84
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $262.14 / $262.14 / $262.14	Facility	26	$262.14	$262.14	$262.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.54 / $185.51 / $1,141.00	Professional		$125.54	$185.51	$1,141.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $96.62 / $493.68	Professional	26	$56.23	$96.62	$493.68
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $56.17 / $84.65 / $900.73	Professional	TC	$56.17	$84.65	$900.73
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $152.47 / $156.91 / $279.12	Facility	26	$152.47	$156.91	$279.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $178.29 / $210.74 / $304.00	Professional		$178.29	$210.74	$304.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.12 / $83.91 / $176.24	Professional		$48.12	$83.91	$176.24
United Facility/Professional Professional Modifier Low / Median / High Price $116.57 / $176.24 / $224.18	Professional		$116.57	$176.24	$224.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $96.62 / $123.88	Professional	26	$56.23	$96.62	$123.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.17 / $84.65 / $100.30	Professional	TC	$56.17	$84.65	$100.30