Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.30 / $146.30 / $146.30	Professional		$146.30	$146.30	$146.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.47 / $78.47 / $78.47	Professional	26	$78.47	$78.47	$78.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.83 / $67.83 / $67.83	Professional	TC	$67.83	$67.83	$67.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.77 / $345.26 / $363.44	Professional		$243.77	$345.26	$363.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $127.26 / $180.24 / $189.72	Professional	26	$127.26	$180.24	$189.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $116.51 / $165.02 / $173.71	Professional	TC	$116.51	$165.02	$173.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.39 / $449.06 / $546.07	Professional		$394.39	$449.06	$546.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $205.52 / $234.43 / $282.89	Professional	26	$205.52	$234.43	$282.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $161.80 / $214.63 / $263.14	Professional	TC	$161.80	$214.63	$263.14
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $579.90 / $579.90 / $579.90	Facility	26	$579.90	$579.90	$579.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $221.66 / $262.43 / $1,548.81	Professional		$221.66	$262.43	$1,548.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $118.89 / $132.13 / $832.85	Professional	26	$118.89	$132.13	$832.85
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $95.64 / $130.30 / $785.37	Professional	TC	$95.64	$130.30	$785.37
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $340.85 / $340.85 / $340.85	Facility	26	$340.85	$340.85	$340.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $324.83 / $420.11 / $558.04	Professional		$324.83	$420.11	$558.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $122.04 / $207.20 / $433.09	Professional		$122.04	$207.20	$433.09
United Facility/Professional Professional Modifier Low / Median / High Price $135.24 / $225.40 / $450.80	Professional		$135.24	$225.40	$450.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $112.95 / $129.76 / $277.47	Professional	26	$112.95	$129.76	$277.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.86 / $102.14 / $191.65	Professional	TC	$90.86	$102.14	$191.65