Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $191.58 / $194.89 / $572.66	Facility	26	$191.58	$194.89	$572.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.28 / $561.28 / $2,500.00	Professional		$561.28	$561.28	$2,500.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $191.58 / $191.58 / $342.25	Professional	26	$191.58	$191.58	$342.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.08 / $1,119.24 / $1,147.22	Professional		$1,047.08	$1,119.24	$1,147.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $352.80 / $377.10 / $386.52	Professional	26	$352.80	$377.10	$386.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1,112.82 / $1,112.82 / $1,112.82	Facility	26	$1,112.82	$1,112.82	$1,112.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $823.83 / $1,352.46 / $1,796.72	Professional		$823.83	$1,352.46	$1,796.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $279.74 / $464.64 / $580.80	Professional	26	$279.74	$464.64	$580.80
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $915.88 / $915.88 / $915.88	Facility	26	$915.88	$915.88	$915.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $688.65 / $1,100.13 / $3,771.72	Professional		$688.65	$1,100.13	$3,771.72
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $236.88 / $383.19 / $1,240.24	Professional	26	$236.88	$383.19	$1,240.24
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $609.35 / $627.10 / $1,112.82	Facility	26	$609.35	$627.10	$1,112.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,005.11 / $1,307.26 / $1,608.31	Professional		$1,005.11	$1,307.26	$1,608.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $223.10 / $442.04 / $1,121.06	Professional		$223.10	$442.04	$1,121.06
United Facility/Professional Professional Modifier Low / Median / High Price $723.44 / $1,087.15 / $1,371.50	Professional		$723.44	$1,087.15	$1,371.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $236.88 / $383.19 / $491.28	Professional	26	$236.88	$383.19	$491.28