Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.17 / $257.17 / $257.17	Professional		$257.17	$257.17	$257.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.25 / $30.25 / $30.25	Professional	26	$30.25	$30.25	$30.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $226.92 / $226.92 / $226.92	Professional	TC	$226.92	$226.92	$226.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.55 / $601.29 / $632.96	Professional		$424.55	$601.29	$632.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.60 / $70.25 / $73.95	Professional	26	$49.60	$70.25	$73.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $374.94 / $531.04 / $559.00	Professional	TC	$374.94	$531.04	$559.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.99 / $819.58 / $973.06	Professional		$707.99	$819.58	$973.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.00 / $90.56 / $107.93	Professional	26	$69.00	$90.56	$107.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $625.90 / $729.02 / $867.65	Professional	TC	$625.90	$729.02	$867.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $213.45 / $213.45 / $213.45	Facility	26	$213.45	$213.45	$213.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $367.04 / $433.44 / $2,779.34	Professional		$367.04	$433.44	$2,779.34
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $45.83 / $49.08 / $306.82	Professional	26	$45.83	$49.08	$306.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $319.79 / $383.14 / $2,481.83	Professional	TC	$319.79	$383.14	$2,481.83
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $122.74 / $122.74 / $122.74	Facility	26	$122.74	$122.74	$122.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $632.53 / $819.58 / $1,048.00	Professional		$632.53	$819.58	$1,048.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.61 / $424.22 / $739.66	Professional		$51.61	$424.22	$739.66
United Facility/Professional Professional Modifier Low / Median / High Price $367.04 / $412.01 / $810.72	Professional		$367.04	$412.01	$810.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.54 / $49.08 / $98.16	Professional	26	$43.54	$49.08	$98.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $319.79 / $362.93 / $719.12	Professional	TC	$319.79	$362.93	$719.12