Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.44 / $73.44 / $73.44	Professional		$73.44	$73.44	$73.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.64 / $27.64 / $141.38	Professional	26	$27.64	$27.64	$141.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.80 / $45.80 / $45.80	Professional	TC	$45.80	$45.80	$45.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $173.69 / $182.84	Professional		$122.64	$173.69	$182.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.96 / $63.68 / $67.04	Professional	26	$44.96	$63.68	$67.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.67 / $110.01 / $115.80	Professional	TC	$77.67	$110.01	$115.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $228.17 / $267.73	Professional		$201.00	$228.17	$267.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.77 / $84.24 / $102.94	Professional	26	$72.77	$84.24	$102.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.94 / $143.93 / $172.18	Professional	TC	$125.94	$143.93	$172.18
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $237.42 / $237.42 / $237.42	Facility	26	$237.42	$237.42	$237.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.27 / $134.58 / $881.27	Professional		$111.27	$134.58	$881.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $41.88 / $54.03 / $342.38	Professional	26	$41.88	$54.03	$342.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $69.39 / $82.64 / $549.40	Professional	TC	$69.39	$82.64	$549.40
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $149.87 / $149.87 / $149.87	Facility	26	$149.87	$149.87	$149.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $182.00 / $228.17 / $304.45	Professional		$182.00	$228.17	$304.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.23 / $111.61 / $214.36	Professional		$46.23	$111.61	$214.36
United Facility/Professional Professional Modifier Low / Median / High Price $105.71 / $120.11 / $281.33	Professional		$105.71	$120.11	$281.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.79 / $45.21 / $113.46	Professional	26	$39.79	$45.21	$113.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.92 / $74.90 / $169.16	Professional	TC	$65.92	$74.90	$169.16