Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.06 / $99.92 / $294.18	Facility	26	$98.06	$99.92	$294.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.04 / $323.04 / $1,328.00	Professional		$323.04	$323.04	$1,328.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.06 / $175.29 / $235.40	Professional	26	$98.06	$175.29	$235.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $224.98 / $224.98 / $224.98	Professional	TC	$224.98	$224.98	$224.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $601.57 / $643.01 / $659.10	Professional		$601.57	$643.01	$659.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $181.24 / $193.72 / $198.56	Professional	26	$181.24	$193.72	$198.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $420.36 / $449.31 / $460.55	Professional	TC	$420.36	$449.31	$460.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $571.62 / $571.62 / $571.62	Facility	26	$571.62	$571.62	$571.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.00 / $746.48 / $1,029.74	Professional		$472.00	$746.48	$1,029.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $143.66 / $237.65 / $298.64	Professional	26	$143.66	$237.65	$298.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $329.00 / $525.89 / $731.10	Professional	TC	$329.00	$525.89	$731.10
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $469.26 / $469.26 / $469.26	Facility	26	$469.26	$469.26	$469.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $369.70 / $615.07 / $2,193.48	Professional		$369.70	$615.07	$2,193.48
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $121.70 / $197.01 / $640.52	Professional	26	$121.70	$197.01	$640.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $248.00 / $418.06 / $1,552.95	Professional	TC	$248.00	$418.06	$1,552.95
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $312.92 / $322.04 / $571.62	Facility	26	$312.92	$322.04	$571.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $539.59 / $728.96 / $922.56	Professional		$539.59	$728.96	$922.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.24 / $266.00 / $640.58	Professional		$114.24	$266.00	$640.58
United Facility/Professional Professional Modifier Low / Median / High Price $378.50 / $607.80 / $788.55	Professional		$378.50	$607.80	$788.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $121.70 / $197.01 / $252.58	Professional	26	$121.70	$197.01	$252.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.26 / $418.06 / $535.97	Professional	TC	$257.26	$418.06	$535.97