Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.86 / $87.86 / $87.86	Professional		$87.86	$87.86	$87.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.28 / $26.28 / $26.28	Professional	26	$26.28	$26.28	$26.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.58 / $61.58 / $61.58	Professional	TC	$61.58	$61.58	$61.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.09 / $213.99 / $225.25	Professional		$151.09	$213.99	$225.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.42 / $61.49 / $64.73	Professional	26	$43.42	$61.49	$64.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $107.67 / $152.49 / $160.52	Professional	TC	$107.67	$152.49	$160.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.95 / $278.33 / $345.88	Professional		$219.95	$278.33	$345.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $79.97 / $99.38	Professional	26	$70.79	$79.97	$99.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $142.72 / $198.34 / $239.28	Professional	TC	$142.72	$198.34	$239.28
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $271.50 / $271.50 / $271.50	Facility	26	$271.50	$271.50	$271.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.91 / $182.15 / $1,070.24	Professional		$123.91	$182.15	$1,070.24
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $61.94 / $390.67	Professional	26	$39.81	$61.94	$390.67
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $81.88 / $120.36 / $793.60	Professional	TC	$81.88	$120.36	$793.60
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $164.60 / $164.60 / $164.60	Facility	26	$164.60	$164.60	$164.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $178.39 / $260.26 / $345.88	Professional		$178.39	$260.26	$345.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.65 / $157.19 / $274.08	Professional		$45.65	$157.19	$274.08
United Facility/Professional Professional Modifier Low / Median / High Price $117.71 / $129.72 / $255.47	Professional		$117.71	$129.72	$255.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.82 / $42.03 / $130.07	Professional	26	$37.82	$42.03	$130.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.78 / $88.64 / $163.76	Professional	TC	$77.78	$88.64	$163.76