Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.35 / $365.35 / $365.35	Professional		$365.35	$365.35	$365.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.56 / $36.56 / $36.56	Professional	26	$36.56	$36.56	$36.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $328.79 / $328.79 / $328.79	Professional	TC	$328.79	$328.79	$328.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $586.41 / $830.60 / $880.15	Professional		$586.41	$830.60	$880.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.60 / $84.43 / $88.87	Professional	26	$59.60	$84.43	$88.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $526.82 / $746.17 / $792.09	Professional	TC	$526.82	$746.17	$792.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $811.00 / $1,020.84 / $1,381.87	Professional		$811.00	$1,020.84	$1,381.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.00 / $106.39 / $129.58	Professional	26	$80.00	$106.39	$129.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $732.00 / $918.95 / $1,254.45	Professional	TC	$732.00	$918.95	$1,254.45
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $255.86 / $255.86 / $255.86	Facility	26	$255.86	$255.86	$255.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $434.46 / $563.33 / $3,946.60	Professional		$434.46	$563.33	$3,946.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $53.50 / $58.27 / $363.38	Professional	26	$53.50	$58.27	$363.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $380.96 / $506.34 / $3,586.83	Professional	TC	$380.96	$506.34	$3,586.83
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $139.09 / $139.09 / $139.09	Facility	26	$139.09	$139.09	$139.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $731.93 / $1,020.84 / $1,381.87	Professional		$731.93	$1,020.84	$1,381.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.95 / $584.60 / $1,019.31	Professional		$61.95	$584.60	$1,019.31
United Facility/Professional Professional Modifier Low / Median / High Price $434.46 / $538.74 / $1,060.81	Professional		$434.46	$538.74	$1,060.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.62 / $58.27 / $116.54	Professional	26	$52.62	$58.27	$116.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $456.44 / $480.47 / $800.02	Professional	TC	$456.44	$480.47	$800.02