Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $258.56 / $258.56 / $336.12	Facility	26	$258.56	$258.56	$336.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $956.91 / $956.91 / $5,749.81	Professional		$956.91	$956.91	$5,749.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $258.56 / $336.12 / $1,429.00	Professional	26	$258.56	$336.12	$1,429.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $698.35 / $698.35 / $4,228.87	Professional	TC	$698.35	$698.35	$4,228.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $905.85 / $1,528.61 / $2,058.75	Professional		$905.85	$1,528.61	$2,058.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $248.78 / $419.82 / $565.41	Professional	26	$248.78	$419.82	$565.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $657.05 / $1,108.79 / $1,493.31	Professional	TC	$657.05	$1,108.79	$1,493.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,887.68 / $2,314.25 / $2,581.36	Professional		$1,887.68	$2,314.25	$2,581.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $518.44 / $621.11 / $737.38	Professional	26	$518.44	$621.11	$737.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,350.61 / $1,693.20 / $1,892.18	Professional	TC	$1,350.61	$1,693.20	$1,892.18
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $2,654.96 / $2,654.96 / $2,654.96	Facility	26	$2,654.96	$2,654.96	$2,654.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,288.78 / $2,119.48 / $2,820.12	Professional		$1,288.78	$2,119.48	$2,820.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $358.42 / $620.35 / $837.72	Professional	26	$358.42	$620.35	$837.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $930.36 / $1,489.88 / $1,982.40	Professional	TC	$930.36	$1,489.88	$1,982.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,464.30 / $2,098.01 / $2,645.94	Professional		$1,464.30	$2,098.01	$2,645.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $303.63 / $1,025.45 / $1,972.01	Professional		$303.63	$1,025.45	$1,972.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.78 / $2,119.48 / $2,455.62	Professional		$1,288.78	$2,119.48	$2,455.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $358.42 / $620.35 / $682.93	Professional	26	$358.42	$620.35	$682.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $1,001.92 / $1,588.76 / $1,772.69	Professional	TC	$1,001.92	$1,588.76	$1,772.69