Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.26 / $465.28 / $784.26	Facility	26	$90.26	$465.28	$784.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $139.33 / $857.00	Professional		$55.00	$139.33	$857.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.07 / $49.07 / $298.89	Professional	TC	$49.07	$49.07	$298.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.72 / $273.33 / $280.17	Professional		$255.72	$273.33	$280.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $97.48 / $99.92	Professional	TC	$91.20	$97.48	$99.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $518.94 / $518.94 / $518.94	Facility	26	$518.94	$518.94	$518.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.95 / $336.73 / $422.76	Professional		$276.95	$336.73	$422.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $98.76 / $118.40 / $158.05	Professional	TC	$98.76	$118.40	$158.05
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $425.13 / $425.13 / $425.13	Facility	26	$425.13	$425.13	$425.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.13 / $278.69 / $1,161.00	Professional		$186.13	$278.69	$1,161.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $65.48 / $95.29 / $585.04	Professional	TC	$65.48	$95.29	$585.04
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $327.60 / $337.14 / $518.94	Facility	26	$327.60	$337.14	$518.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $254.36 / $316.07 / $393.43	Professional		$254.36	$316.07	$393.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.92 / $101.29 / $271.32	Professional		$56.92	$101.29	$271.32
United Facility/Professional Professional Modifier Low / Median / High Price $186.13 / $278.69 / $347.44	Professional		$186.13	$278.69	$347.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.48 / $97.89 / $116.95	Professional	TC	$65.48	$97.89	$116.95