Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.12 / $186.12 / $186.12	Professional		$186.12	$186.12	$186.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.99 / $26.99 / $26.99	Professional	26	$26.99	$26.99	$26.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $159.13 / $159.13 / $159.13	Professional	TC	$159.13	$159.13	$159.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.14 / $413.79 / $448.36	Professional		$292.14	$413.79	$448.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.57 / $61.71 / $65.01	Professional	26	$43.57	$61.71	$65.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $248.58 / $352.07 / $383.36	Professional	TC	$248.58	$352.07	$383.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.00 / $556.78 / $727.32	Professional		$457.00	$556.78	$727.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.00 / $82.11 / $94.83	Professional	26	$65.00	$82.11	$94.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $392.00 / $474.67 / $632.54	Professional	TC	$392.00	$474.67	$632.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $183.18 / $183.18 / $183.18	Facility	26	$183.18	$183.18	$183.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $188.37 / $319.17 / $2,077.04	Professional		$188.37	$319.17	$2,077.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.89 / $44.82 / $267.88	Professional	26	$40.89	$44.82	$267.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $144.55 / $274.35 / $1,809.15	Professional	TC	$144.55	$274.35	$1,809.15
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $151.50 / $151.50 / $151.50	Facility	26	$151.50	$151.50	$151.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $411.14 / $538.19 / $727.32	Professional		$411.14	$538.19	$727.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.09 / $285.76 / $498.25	Professional		$45.09	$285.76	$498.25
United Facility/Professional Professional Modifier Low / Median / High Price $191.50 / $319.17 / $544.39	Professional		$191.50	$319.17	$544.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.85 / $44.82 / $89.64	Professional	26	$38.85	$44.82	$89.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $164.61 / $274.35 / $417.75	Professional	TC	$164.61	$274.35	$417.75