Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.44 / $103.03 / $138.08	Facility	26	$41.44	$103.03	$138.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.94 / $144.46 / $421.78	Professional		$127.94	$144.46	$421.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.44 / $44.89 / $125.43	Professional	26	$41.44	$44.89	$125.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $86.50 / $99.57 / $296.33	Professional	TC	$86.50	$99.57	$296.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.88 / $203.18 / $279.27	Professional		$122.88	$203.18	$279.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.57 / $66.76 / $89.95	Professional	26	$39.57	$66.76	$89.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.31 / $137.74 / $189.33	Professional	TC	$83.31	$137.74	$189.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.96 / $286.14 / $357.67	Professional		$140.96	$286.14	$357.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.06 / $92.95 / $117.58	Professional	26	$48.06	$92.95	$117.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $98.07 / $197.51 / $246.88	Professional	TC	$98.07	$197.51	$246.88
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $214.35 / $214.35 / $214.35	Facility	26	$214.35	$214.35	$214.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $172.60 / $265.77 / $1,086.26	Professional		$172.60	$265.77	$1,086.26
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $57.63 / $88.66 / $449.09	Professional	26	$57.63	$88.66	$449.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $114.97 / $183.53 / $867.64	Professional	TC	$114.97	$183.53	$867.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $191.40 / $272.97 / $379.51	Professional		$191.40	$272.97	$379.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.27 / $183.98 / $350.70	Professional		$81.27	$183.98	$350.70
United Facility/Professional Professional Modifier Low / Median / High Price $172.60 / $294.75 / $335.26	Professional		$172.60	$294.75	$335.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.63 / $89.36 / $109.81	Professional	26	$57.63	$89.36	$109.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $114.97 / $176.88 / $226.40	Professional	TC	$114.97	$176.88	$226.40