Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.91 / $55.17 / $73.94	Facility	26	$21.91	$55.17	$73.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.60 / $180.90 / $289.02	Professional		$114.60	$180.90	$289.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.76 / $21.91 / $90.00	Professional	26	$18.76	$21.91	$90.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $92.69 / $151.46 / $207.62	Professional	TC	$92.69	$151.46	$207.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.77 / $185.00 / $251.74	Professional		$110.77	$185.00	$251.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.93 / $35.29 / $47.56	Professional	26	$20.93	$35.29	$47.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $89.84 / $148.55 / $204.18	Professional	TC	$89.84	$148.55	$204.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.27 / $266.00 / $323.64	Professional		$126.27	$266.00	$323.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.42 / $46.32 / $62.09	Professional	26	$24.42	$46.32	$62.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $105.80 / $219.76 / $266.07	Professional	TC	$105.80	$219.76	$266.07
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $174.32 / $174.32 / $174.32	Facility	26	$174.32	$174.32	$174.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $188.76 / $240.16 / $1,035.17	Professional		$188.76	$240.16	$1,035.17
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $32.22 / $44.70 / $303.79	Professional	26	$32.22	$44.70	$303.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $152.53 / $207.94 / $922.24	Professional	TC	$152.53	$207.94	$922.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.94 / $246.67 / $316.45	Professional		$186.94	$246.67	$316.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.12 / $128.02 / $232.93	Professional		$26.12	$128.02	$232.93
United Facility/Professional Professional Modifier Low / Median / High Price $190.03 / $244.92 / $300.70	Professional		$190.03	$244.92	$300.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.47 / $50.74 / $57.49	Professional	26	$32.47	$50.74	$57.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $149.93 / $211.63 / $253.70	Professional	TC	$149.93	$211.63	$253.70