Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $857.66 / $3,238.51 / $4,746.74	Facility	26	$857.66	$3,238.51	$4,746.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $857.41 / $857.41 / $5,011.02	Professional		$857.41	$857.41	$5,011.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $441.27 / $441.27 / $2,639.84	Professional	26	$441.27	$441.27	$2,639.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,603.24 / $1,713.68 / $1,756.52	Professional		$1,603.24	$1,713.68	$1,756.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $813.74 / $869.79 / $891.53	Professional	26	$813.74	$869.79	$891.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2,566.80 / $2,566.80 / $2,566.80	Facility	26	$2,566.80	$2,566.80	$2,566.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,511.00 / $1,996.81 / $2,729.49	Professional		$1,511.00	$1,996.81	$2,729.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $881.27 / $1,069.95 / $1,338.08	Professional	26	$881.27	$1,069.95	$1,338.08
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $4,331.35 / $4,331.35 / $4,331.35	Facility	26	$4,331.35	$4,331.35	$4,331.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $944.89 / $1,607.32 / $6,280.00	Professional		$944.89	$1,607.32	$6,280.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $632.64 / $926.67 / $5,024.00	Professional	26	$632.64	$926.67	$5,024.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $1,822.98 / $1,876.07 / $2,566.80	Facility	26	$1,822.98	$1,876.07	$2,566.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,319.29 / $1,814.79 / $2,349.63	Professional		$1,319.29	$1,814.79	$2,349.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $502.89 / $876.83 / $1,724.15	Professional		$502.89	$876.83	$1,724.15
United Facility/Professional Professional Modifier Low / Median / High Price $989.12 / $1,607.32 / $2,003.80	Professional		$989.12	$1,607.32	$2,003.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $588.80 / $883.21 / $1,132.33	Professional	26	$588.80	$883.21	$1,132.33