Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.42 / $289.42 / $289.42	Professional		$289.42	$289.42	$289.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.39 / $48.39 / $255.43	Professional	26	$48.39	$48.39	$255.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $490.00 / $694.00 / $730.53	Professional		$490.00	$694.00	$730.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.01 / $111.91 / $117.80	Professional	26	$79.01	$111.91	$117.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.22 / $902.65 / $1,094.68	Professional		$616.22	$902.65	$1,094.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.00 / $145.56 / $180.89	Professional	26	$131.00	$145.56	$180.89
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $340.61 / $340.61 / $340.61	Facility	26	$340.61	$340.61	$340.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $361.37 / $512.33 / $3,261.22	Professional		$361.37	$512.33	$3,261.22
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $70.40 / $77.06 / $665.00	Professional	26	$70.40	$77.06	$665.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $195.95 / $195.95 / $195.95	Facility	26	$195.95	$195.95	$195.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $522.74 / $859.37 / $1,121.74	Professional		$522.74	$859.37	$1,121.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.13 / $513.96 / $896.13	Professional		$82.13	$513.96	$896.13
United Facility/Professional Professional Modifier Low / Median / High Price $216.82 / $394.10 / $722.74	Professional		$216.82	$394.10	$722.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.20 / $77.00 / $151.07	Professional	26	$46.20	$77.00	$151.07