Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.25 / $14.25 / $14.25	Facility	26	$14.25	$14.25	$14.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.13 / $130.69 / $180.00	Professional		$110.13	$130.69	$180.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.25 / $15.17 / $20.73	Professional	26	$14.25	$15.17	$20.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.97 / $115.53 / $149.33	Professional	TC	$93.97	$115.53	$149.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.90 / $197.62 / $272.50	Professional		$119.90	$197.62	$272.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.18 / $22.78 / $32.25	Professional	26	$14.18	$22.78	$32.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $105.36 / $174.83 / $239.44	Professional	TC	$105.36	$174.83	$239.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.49 / $246.56 / $306.41	Professional		$97.49	$246.56	$306.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.48 / $29.62 / $39.36	Professional	26	$12.48	$29.62	$39.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $84.85 / $218.10 / $271.08	Professional	TC	$84.85	$218.10	$271.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.94 / $196.86 / $800.25	Professional		$112.94	$196.86	$800.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.97 / $28.18 / $135.38	Professional	26	$13.97	$28.18	$135.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $89.92 / $168.68 / $706.26	Professional	TC	$89.92	$168.68	$706.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $141.00 / $202.90 / $306.41	Professional		$141.00	$202.90	$306.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $137.63 / $264.69	Professional		$16.50	$137.63	$264.69
United Facility/Professional Professional Modifier Low / Median / High Price $120.18 / $186.50 / $292.83	Professional		$120.18	$186.50	$292.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $28.18 / $36.38	Professional	26	$12.88	$28.18	$36.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.21 / $172.98 / $257.30	Professional	TC	$97.21	$172.98	$257.30