Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.76 / $217.18 / $366.07	Facility	26	$44.76	$217.18	$366.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.19 / $61.19 / $372.95	Professional		$61.19	$61.19	$372.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.77 / $52.26 / $399.40	Professional	26	$43.77	$52.26	$399.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.42 / $17.42 / $109.76	Professional	TC	$17.42	$17.42	$109.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.97 / $121.81 / $124.87	Professional		$113.97	$121.81	$124.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.20 / $86.81 / $88.98	Professional	26	$81.20	$86.81	$88.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.74 / $35.00 / $35.88	Professional	TC	$32.74	$35.00	$35.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $256.20 / $256.20 / $256.20	Facility	26	$256.20	$256.20	$256.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $147.99 / $189.08	Professional		$101.00	$147.99	$189.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.00 / $106.27 / $132.84	Professional	26	$72.00	$106.27	$132.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.00 / $41.70 / $56.24	Professional	TC	$29.00	$41.70	$56.24
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $210.41 / $210.41 / $210.41	Facility	26	$210.41	$210.41	$210.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $121.50 / $404.61	Professional		$71.98	$121.50	$404.61
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.70 / $88.04 / $402.86	Professional	26	$51.70	$88.04	$402.86
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.29 / $34.17 / $402.86	Professional	TC	$20.29	$34.17	$402.86
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $140.77 / $144.87 / $256.20	Facility	26	$140.77	$144.87	$256.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.20 / $134.13 / $172.13	Professional		$109.20	$134.13	$172.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $51.12 / $121.95	Professional		$20.71	$51.12	$121.95
United Facility/Professional Professional Modifier Low / Median / High Price $74.77 / $122.07 / $155.78	Professional		$74.77	$122.07	$155.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.18 / $88.04 / $112.88	Professional	26	$54.18	$88.04	$112.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.59 / $34.75 / $42.90	Professional	TC	$20.59	$34.75	$42.90