Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.38 / $35.38 / $35.38	Professional		$35.38	$35.38	$35.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.53 / $23.53 / $23.53	Professional	26	$23.53	$23.53	$23.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.84 / $11.84 / $11.84	Professional	TC	$11.84	$11.84	$11.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.72 / $81.76 / $86.06	Professional		$57.72	$81.76	$86.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.25 / $54.18 / $57.03	Professional	26	$38.25	$54.18	$57.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.46 / $27.57 / $29.03	Professional	TC	$19.46	$27.57	$29.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $98.56 / $126.53	Professional		$91.00	$98.56	$126.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.00 / $70.33 / $83.53	Professional	26	$56.00	$70.33	$83.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.25 / $35.00 / $43.00	Professional	TC	$28.25	$35.00	$43.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $165.02 / $165.02 / $165.02	Facility	26	$165.02	$165.02	$165.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.76 / $57.74 / $353.10	Professional		$50.76	$57.74	$353.10
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $34.21 / $38.28 / $231.59	Professional	26	$34.21	$38.28	$231.59
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.37 / $17.94 / $121.51	Professional	TC	$16.37	$17.94	$121.51
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $98.90 / $98.90 / $98.90	Facility	26	$98.90	$98.90	$98.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $98.56 / $132.16	Professional		$84.00	$98.56	$132.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $57.82 / $104.61	Professional		$20.19	$57.82	$104.61
United Facility/Professional Professional Modifier Low / Median / High Price $50.76 / $54.66 / $106.60	Professional		$50.76	$54.66	$106.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $38.26 / $76.52	Professional	26	$33.88	$38.26	$76.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.58 / $17.04 / $32.79	Professional	TC	$15.58	$17.04	$32.79