Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.72 / $55.72 / $55.72	Professional		$55.72	$55.72	$55.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.98 / $12.98 / $12.98	Professional	26	$12.98	$12.98	$12.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.74 / $42.74 / $42.74	Professional	TC	$42.74	$42.74	$42.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.01 / $127.48 / $134.24	Professional		$90.01	$127.48	$134.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.96 / $29.68 / $31.28	Professional	26	$20.96	$29.68	$31.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.06 / $97.81 / $102.95	Professional	TC	$69.06	$97.81	$102.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.00 / $163.13 / $219.95	Professional		$148.00	$163.13	$219.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.77 / $41.37 / $46.28	Professional	26	$33.77	$41.37	$46.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.00 / $127.04 / $173.69	Professional	TC	$104.00	$127.04	$173.69
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.86 / $90.58 / $626.79	Professional		$71.86	$90.58	$626.79
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.67 / $22.29 / $171.71	Professional	26	$19.67	$22.29	$171.71
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $49.78 / $68.33 / $496.32	Professional	TC	$49.78	$68.33	$496.32
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $58.76 / $58.76 / $58.76	Facility	26	$58.76	$58.76	$58.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $158.24 / $219.95	Professional		$103.00	$158.24	$219.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $98.43 / $155.28	Professional		$30.96	$98.43	$155.28
United Facility/Professional Professional Modifier Low / Median / High Price $71.86 / $90.58 / $177.34	Professional		$71.86	$90.58	$177.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.69 / $22.25 / $44.58	Professional	26	$18.69	$22.25	$44.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $49.78 / $68.33 / $135.76	Professional	TC	$49.78	$68.33	$135.76