Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.30 / $47.30 / $47.30	Professional		$47.30	$47.30	$47.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.94 / $15.94 / $15.94	Professional	26	$15.94	$15.94	$15.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.36 / $31.36 / $31.36	Professional	TC	$31.36	$31.36	$31.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.78 / $117.23 / $123.41	Professional		$82.78	$117.23	$123.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.80 / $36.54 / $38.46	Professional	26	$25.80	$36.54	$38.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.96 / $80.68 / $84.93	Professional	TC	$56.96	$80.68	$84.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $146.72 / $187.58	Professional		$109.00	$146.72	$187.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.05 / $46.50 / $56.55	Professional	26	$43.05	$46.50	$56.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.00 / $103.64 / $130.41	Professional	TC	$65.00	$103.64	$130.41
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $112.04 / $112.04 / $112.04	Facility	26	$112.04	$112.04	$112.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $71.67 / $466.08	Professional		$48.56	$71.67	$466.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.02 / $26.01 / $186.58	Professional	26	$23.02	$26.01	$186.58
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.54 / $47.52 / $309.75	Professional	TC	$25.54	$47.52	$309.75
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $64.11 / $64.11 / $64.11	Facility	26	$64.11	$64.11	$64.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $120.68 / $171.74	Professional		$93.00	$120.68	$171.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.24 / $88.33 / $154.02	Professional		$27.24	$88.33	$154.02
United Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $67.55 / $125.37	Professional		$48.56	$67.55	$125.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.95 / $25.36 / $49.90	Professional	26	$22.95	$25.36	$49.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.48 / $39.14 / $77.94	Professional	TC	$23.48	$39.14	$77.94