Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $42.78 / $42.78	Professional		$42.78	$42.78	$42.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.03 / $16.03 / $16.03	Professional	26	$16.03	$16.03	$16.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.75 / $26.75 / $26.75	Professional	TC	$26.75	$26.75	$26.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $98.70 / $103.91	Professional		$69.70	$98.70	$103.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.28 / $37.21 / $39.18	Professional	26	$26.28	$37.21	$39.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.43 / $61.50 / $64.75	Professional	TC	$43.43	$61.50	$64.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $129.94 / $153.94	Professional		$103.00	$129.94	$153.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.00 / $49.98 / $56.68	Professional	26	$40.00	$49.98	$56.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.00 / $79.95 / $97.83	Professional	TC	$63.00	$79.95	$97.83
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $110.49 / $110.49 / $110.49	Facility	26	$110.49	$110.49	$110.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.49 / $69.91 / $438.19	Professional		$55.49	$69.91	$438.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.39 / $26.94 / $158.25	Professional	26	$20.39	$26.94	$158.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $35.08 / $42.97 / $279.94	Professional	TC	$35.08	$42.97	$279.94
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $70.97 / $70.97 / $70.97	Facility	26	$70.97	$70.97	$70.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.70 / $128.40 / $159.56	Professional		$114.70	$128.40	$159.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.32 / $62.05 / $121.97	Professional		$27.32	$62.05	$121.97
United Facility/Professional Professional Modifier Low / Median / High Price $55.49 / $69.91 / $135.13	Professional		$55.49	$69.91	$135.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.39 / $26.94 / $50.03	Professional	26	$20.39	$26.94	$50.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.08 / $42.97 / $85.10	Professional	TC	$35.08	$42.97	$85.10