Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.52 / $76.52 / $76.52	Professional		$76.52	$76.52	$76.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.52 / $33.52 / $33.52	Professional	26	$33.52	$33.52	$33.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.81 / $181.02 / $190.55	Professional		$127.81	$181.02	$190.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.27 / $76.87 / $80.92	Professional	26	$54.27	$76.87	$80.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.38 / $235.44 / $282.89	Professional		$212.38	$235.44	$282.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.66 / $101.64 / $119.06	Professional	26	$89.66	$101.64	$119.06
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $317.04 / $317.04 / $317.04	Facility	26	$317.04	$317.04	$317.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.94 / $175.95 / $1,000.49	Professional		$115.94	$175.95	$1,000.49
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $50.79 / $72.93 / $415.79	Professional	26	$50.79	$72.93	$415.79
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $199.60 / $199.60 / $199.60	Facility	26	$199.60	$199.60	$199.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.70 / $235.44 / $348.37	Professional		$208.70	$235.44	$348.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.56 / $107.56 / $225.71	Professional		$56.56	$107.56	$225.71
United Facility/Professional Professional Modifier Low / Median / High Price $110.14 / $128.15 / $271.02	Professional		$110.14	$128.15	$271.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.47 / $55.78 / $128.06	Professional	26	$33.47	$55.78	$128.06