Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.40 / $75.40 / $75.40	Professional		$75.40	$75.40	$75.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.82 / $20.82 / $20.82	Professional	26	$20.82	$20.82	$20.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.58 / $54.58 / $54.58	Professional	TC	$54.58	$54.58	$54.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.96 / $185.47 / $195.24	Professional		$130.96	$185.47	$195.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.46 / $48.82 / $51.39	Professional	26	$34.46	$48.82	$51.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $96.48 / $136.65 / $143.84	Professional	TC	$96.48	$136.65	$143.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $228.24 / $292.75	Professional		$172.00	$228.24	$292.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.00 / $60.30 / $75.98	Professional	26	$46.00	$60.30	$75.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $126.00 / $170.60 / $216.78	Professional	TC	$126.00	$170.60	$216.78
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $149.85 / $149.85 / $149.85	Facility	26	$149.85	$149.85	$149.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $114.25 / $730.19	Professional		$67.76	$114.25	$730.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.30 / $32.94 / $200.25	Professional	26	$24.30	$32.94	$200.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $43.94 / $82.65 / $531.07	Professional	TC	$43.94	$82.65	$531.07
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $84.16 / $84.16 / $84.16	Facility	26	$84.16	$84.16	$84.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.74 / $226.41 / $292.75	Professional		$151.74	$226.41	$292.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.46 / $137.78 / $240.23	Professional		$36.46	$137.78	$240.23
United Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $107.80 / $197.22	Professional		$67.76	$107.80	$197.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.30 / $32.90 / $61.06	Professional	26	$24.30	$32.90	$61.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.93 / $78.56 / $126.99	Professional	TC	$44.93	$78.56	$126.99