Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.45 / $20.45 / $20.45	Facility	26	$20.45	$20.45	$20.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $74.09 / $129.86	Professional		$36.63	$74.09	$129.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.45 / $33.25 / $53.99	Professional	26	$20.45	$33.25	$53.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.18 / $24.28 / $97.42	Professional	TC	$16.18	$24.28	$97.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $59.72 / $80.45	Professional		$35.40	$59.72	$80.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.57 / $33.02 / $44.49	Professional	26	$19.57	$33.02	$44.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.83 / $26.39 / $35.97	Professional	TC	$15.83	$26.39	$35.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $83.91 / $101.20	Professional		$44.64	$83.91	$101.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.11 / $45.39 / $57.71	Professional	26	$24.11	$45.39	$57.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.54 / $37.47 / $46.24	Professional	TC	$20.54	$37.47	$46.24
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $201.45 / $201.45 / $201.45	Facility	26	$201.45	$201.45	$201.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $90.61 / $764.92	Professional		$46.18	$90.61	$764.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.19 / $50.84 / $382.94	Professional	26	$27.19	$50.84	$382.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.98 / $37.26 / $585.86	Professional	TC	$18.98	$37.26	$585.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $82.87 / $219.00	Professional		$57.24	$82.87	$219.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.14 / $34.47 / $64.01	Professional		$24.14	$34.47	$64.01
United Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $86.08 / $165.05	Professional		$46.18	$86.08	$165.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.19 / $48.30 / $54.42	Professional	26	$27.19	$48.30	$54.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.98 / $35.88 / $109.92	Professional	TC	$18.98	$35.88	$109.92