Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $603.67 / $754.60 / $1,177.48	Professional		$603.67	$754.60	$1,177.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.29 / $129.11 / $201.47	Professional	26	$103.29	$129.11	$201.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $500.39 / $625.49 / $976.02	Professional	TC	$500.39	$625.49	$976.02
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $205.41 / $205.41 / $205.41	Facility	26	$205.41	$205.41	$205.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $304.43 / $1,782.62 / $1,782.62	Professional		$304.43	$1,782.62	$1,782.62
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $313.70 / $313.70 / $313.70	Professional	26	$313.70	$313.70	$313.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $1,468.91 / $1,468.91 / $1,468.91	Professional	TC	$1,468.91	$1,468.91	$1,468.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $285.31 / $395.50 / $815.86	Professional		$285.31	$395.50	$815.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.97 / $292.25 / $511.73	Professional		$67.97	$292.25	$511.73