Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.72 / $42.72 / $42.72	Professional		$42.72	$42.72	$42.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.07 / $17.07 / $66.80	Professional	26	$17.07	$17.07	$66.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.65 / $25.65 / $25.65	Professional	TC	$25.65	$25.65	$25.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.25 / $109.42 / $115.18	Professional		$77.25	$109.42	$115.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.34 / $40.14 / $42.25	Professional	26	$28.34	$40.14	$42.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.90 / $69.26 / $72.90	Professional	TC	$48.90	$69.26	$72.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $139.72 / $176.84	Professional		$111.00	$139.72	$176.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.72 / $52.25 / $62.03	Professional	26	$46.72	$52.25	$62.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.00 / $89.50 / $111.97	Professional	TC	$62.00	$89.50	$111.97
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $122.62 / $122.62 / $122.62	Facility	26	$122.62	$122.62	$122.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.22 / $67.64 / $424.65	Professional		$55.22	$67.64	$424.65
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.87 / $28.30 / $214.00	Professional	26	$25.87	$28.30	$214.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $29.07 / $40.36 / $272.93	Professional	TC	$29.07	$40.36	$272.93
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $73.45 / $73.45 / $73.45	Facility	26	$73.45	$73.45	$73.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.41 / $128.01 / $175.76	Professional		$87.41	$128.01	$175.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $79.51 / $147.08	Professional		$30.30	$79.51	$147.08
United Facility/Professional Professional Modifier Low / Median / High Price $55.22 / $64.73 / $125.37	Professional		$55.22	$64.73	$125.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.58 / $28.18 / $56.11	Professional	26	$24.58	$28.18	$56.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.91 / $36.52 / $72.76	Professional	TC	$21.91	$36.52	$72.76