Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.28 / $46.28 / $46.28	Professional		$46.28	$46.28	$46.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.14 / $16.14 / $61.09	Professional	26	$16.14	$16.14	$61.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.14 / $30.14 / $30.14	Professional	TC	$30.14	$30.14	$30.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $114.86 / $120.90	Professional		$81.09	$114.86	$120.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.14 / $37.03 / $38.97	Professional	26	$26.14	$37.03	$38.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.96 / $77.81 / $81.93	Professional	TC	$54.96	$77.81	$81.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $145.57 / $185.65	Professional		$110.00	$145.57	$185.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.59 / $47.69 / $57.30	Professional	26	$43.59	$47.69	$57.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.00 / $101.23 / $125.80	Professional	TC	$66.00	$101.23	$125.80
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $113.54 / $113.54 / $113.54	Facility	26	$113.54	$113.54	$113.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.63 / $70.12 / $453.03	Professional		$46.63	$70.12	$453.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.35 / $26.05 / $158.49	Professional	26	$23.35	$26.05	$158.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.66 / $45.66 / $300.38	Professional	TC	$24.66	$45.66	$300.38
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $65.73 / $65.73 / $65.73	Facility	26	$65.73	$65.73	$65.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $84.82 / $128.36 / $184.33	Professional		$84.82	$128.36	$184.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $87.57 / $152.80	Professional		$27.37	$87.57	$152.80
United Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $67.12 / $130.57	Professional		$40.27	$67.12	$130.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.24 / $26.02 / $49.89	Professional	26	$23.24	$26.02	$49.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.66 / $41.10 / $81.84	Professional	TC	$24.66	$41.10	$81.84