Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.73 / $518.62 / $874.17	Facility	26	$94.73	$518.62	$874.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $888.36 / $888.36 / $4,963.22	Professional		$888.36	$888.36	$4,963.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $798.15 / $798.15 / $4,394.97	Professional	TC	$798.15	$798.15	$4,394.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,613.05 / $1,724.18 / $1,767.28	Professional		$1,613.05	$1,724.18	$1,767.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $1,445.77 / $1,545.35 / $1,583.99	Professional	TC	$1,445.77	$1,545.35	$1,583.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $527.76 / $527.76 / $527.76	Facility	26	$527.76	$527.76	$527.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,534.00 / $2,097.69 / $2,771.19	Professional		$1,534.00	$2,097.69	$2,771.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,360.00 / $1,891.24 / $2,502.60	Professional	TC	$1,360.00	$1,891.24	$2,502.60
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $451.11 / $451.11 / $451.11	Facility	26	$451.11	$451.11	$451.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $732.39 / $1,531.06 / $6,422.07	Professional		$732.39	$1,531.06	$6,422.07
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $612.30 / $1,373.27 / $5,800.59	Professional	TC	$612.30	$1,373.27	$5,800.59
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $368.85 / $379.60 / $527.76	Facility	26	$368.85	$379.60	$527.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $918.06 / $1,729.26 / $2,588.13	Professional		$918.06	$1,729.26	$2,588.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.26 / $975.39 / $1,750.81	Professional		$110.26	$975.39	$1,750.81
United Facility/Professional Professional Modifier Low / Median / High Price $732.39 / $1,531.06 / $1,908.72	Professional		$732.39	$1,531.06	$1,908.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $827.69 / $1,403.98 / $1,692.10	Professional	TC	$827.69	$1,403.98	$1,692.10