Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.36 / $70.36 / $70.36	Professional		$70.36	$70.36	$70.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.08 / $21.08 / $21.08	Professional	26	$21.08	$21.08	$21.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.27 / $49.27 / $49.27	Professional	TC	$49.27	$49.27	$49.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.26 / $161.83 / $170.34	Professional		$114.26	$161.83	$170.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.22 / $48.49 / $51.03	Professional	26	$34.22	$48.49	$51.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $80.03 / $113.34 / $119.31	Professional	TC	$80.03	$113.34	$119.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.07 / $210.47 / $261.56	Professional		$188.07	$210.47	$261.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.89 / $64.09 / $78.36	Professional	26	$55.89	$64.09	$78.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $124.67 / $147.41 / $183.19	Professional	TC	$124.67	$147.41	$183.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $256.47 / $256.47 / $256.47	Facility	26	$256.47	$256.47	$256.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $106.59 / $156.69 / $1,210.67	Professional		$106.59	$156.69	$1,210.67
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $31.94 / $50.94 / $360.79	Professional	26	$31.94	$50.94	$360.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $71.94 / $105.75 / $914.18	Professional	TC	$71.94	$105.75	$914.18
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $160.87 / $160.87 / $160.87	Facility	26	$160.87	$160.87	$160.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $161.22 / $207.98 / $350.00	Professional		$161.22	$207.98	$350.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $114.98 / $200.47	Professional		$35.46	$114.98	$200.47
United Facility/Professional Professional Modifier Low / Median / High Price $101.26 / $106.59 / $351.73	Professional		$101.26	$106.59	$351.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.79 / $34.68 / $123.17	Professional	26	$20.79	$34.68	$123.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $68.34 / $74.66 / $222.09	Professional	TC	$68.34	$74.66	$222.09