Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.20 / $223.92 / $377.43	Facility	26	$41.20	$223.92	$377.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.72 / $193.72 / $1,319.25	Professional		$193.72	$193.72	$1,319.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $152.58 / $152.58 / $1,062.72	Professional	TC	$152.58	$152.58	$1,062.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.92 / $378.30 / $387.75	Professional		$353.92	$378.30	$387.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $278.32 / $297.50 / $304.94	Professional	TC	$278.32	$297.50	$304.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $238.38 / $238.38 / $238.38	Facility	26	$238.38	$238.38	$238.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.90 / $480.16 / $600.20	Professional		$387.90	$480.16	$600.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $305.08 / $382.42 / $478.03	Professional	TC	$305.08	$382.42	$478.03
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $198.60 / $198.60 / $198.60	Facility	26	$198.60	$198.60	$198.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $266.20 / $410.69 / $608.54	Professional		$266.20	$410.69	$608.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $211.11 / $323.49 / $480.35	Professional	TC	$211.11	$323.49	$480.35
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $140.58 / $144.68 / $238.38	Facility	26	$140.58	$144.68	$238.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $383.28 / $455.49 / $590.15	Professional		$383.28	$455.49	$590.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $173.37 / $372.12	Professional		$47.67	$173.37	$372.12
United Facility/Professional Professional Modifier Low / Median / High Price $266.20 / $406.81 / $527.04	Professional		$266.20	$406.81	$527.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $211.11 / $320.83 / $416.22	Professional	TC	$211.11	$320.83	$416.22