Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.36 / $40.36 / $40.36	Facility	26	$40.36	$40.36	$40.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.32 / $172.01 / $252.00	Professional		$128.32	$172.01	$252.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.36 / $47.50 / $113.44	Professional	26	$40.36	$47.50	$113.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.96 / $90.37 / $218.29	Professional	TC	$87.96	$90.37	$218.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.86 / $236.69 / $328.88	Professional		$138.86	$236.69	$328.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.61 / $65.15 / $87.78	Professional	26	$38.61	$65.15	$87.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $102.17 / $173.97 / $241.99	Professional	TC	$102.17	$173.97	$241.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.61 / $241.96 / $378.55	Professional		$145.61	$241.96	$378.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.23 / $87.24 / $109.40	Professional	26	$49.23	$87.24	$109.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.77 / $159.00 / $278.52	Professional	TC	$87.77	$159.00	$278.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $214.20 / $214.20 / $214.20	Facility	26	$214.20	$214.20	$214.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.66 / $191.36 / $834.21	Professional		$122.66	$191.36	$834.21
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.83 / $82.41 / $261.89	Professional	26	$52.83	$82.41	$261.89
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $69.83 / $113.83 / $595.82	Professional	TC	$69.83	$113.83	$595.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $139.80 / $212.00 / $317.31	Professional		$139.80	$212.00	$317.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.54 / $142.71 / $275.85	Professional		$41.54	$142.71	$275.85
United Facility/Professional Professional Modifier Low / Median / High Price $122.66 / $217.85 / $319.00	Professional		$122.66	$217.85	$319.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.83 / $82.41 / $103.66	Professional	26	$52.83	$82.41	$103.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.83 / $111.13 / $207.76	Professional	TC	$69.83	$111.13	$207.76