Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.27 / $105.60 / $141.52	Facility	26	$43.27	$105.60	$141.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.81 / $251.23 / $363.92	Professional		$195.81	$251.23	$363.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.27 / $45.57 / $222.00	Professional	26	$43.27	$45.57	$222.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $151.80 / $207.97 / $300.89	Professional	TC	$151.80	$207.97	$300.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.13 / $405.31 / $557.13	Professional		$245.13	$405.31	$557.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.82 / $69.15 / $95.04	Professional	26	$41.82	$69.15	$95.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $203.31 / $336.17 / $462.08	Professional	TC	$203.31	$336.17	$462.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.93 / $544.36 / $680.45	Professional		$264.93	$544.36	$680.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.19 / $97.32 / $121.04	Professional	26	$48.19	$97.32	$121.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $228.56 / $452.24 / $565.29	Professional	TC	$228.56	$452.24	$565.29
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $202.83 / $202.83 / $202.83	Facility	26	$202.83	$202.83	$202.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $388.27 / $503.88 / $1,904.10	Professional		$388.27	$503.88	$1,904.10
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $73.08 / $89.52 / $588.72	Professional	26	$73.08	$89.52	$588.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $332.57 / $417.34 / $1,640.58	Professional	TC	$332.57	$417.34	$1,640.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $334.08 / $510.84 / $670.63	Professional		$334.08	$510.84	$670.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.43 / $275.17 / $498.28	Professional		$50.43	$275.17	$498.28
United Facility/Professional Professional Modifier Low / Median / High Price $406.03 / $563.37 / $659.23	Professional		$406.03	$563.37	$659.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.08 / $89.88 / $112.62	Professional	26	$73.08	$89.88	$112.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $332.57 / $467.68 / $535.04	Professional	TC	$332.57	$467.68	$535.04