Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $293.30 / $293.30 / $293.30	Facility	26	$293.30	$293.30	$293.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,029.08 / $1,029.08 / $6,252.39	Professional		$1,029.08	$1,029.08	$6,252.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $293.30 / $749.64 / $1,463.00	Professional	26	$293.30	$749.64	$1,463.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $974.03 / $1,643.70 / $2,213.73	Professional		$974.03	$1,643.70	$2,213.73
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $281.86 / $475.63 / $640.59	Professional	26	$281.86	$475.63	$640.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,029.80 / $2,488.62 / $2,774.15	Professional		$2,029.80	$2,488.62	$2,774.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $587.37 / $704.66 / $830.48	Professional	26	$587.37	$704.66	$830.48
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $3,007.60 / $3,007.60 / $3,007.60	Facility	26	$3,007.60	$3,007.60	$3,007.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,402.56 / $2,341.57 / $3,115.62	Professional		$1,402.56	$2,341.57	$3,115.62
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $406.10 / $702.86 / $944.71	Professional	26	$406.10	$702.86	$944.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,617.47 / $2,317.85 / $2,932.79	Professional		$1,617.47	$2,317.85	$2,932.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $344.47 / $1,103.68 / $2,122.46	Professional		$344.47	$1,103.68	$2,122.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,402.56 / $2,427.50 / $2,700.31	Professional		$1,402.56	$2,427.50	$2,700.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $406.10 / $699.66 / $773.77	Professional	26	$406.10	$699.66	$773.77