Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $603.67 / $754.60 / $1,491.06	Professional		$603.67	$754.60	$1,491.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.29 / $129.11 / $255.12	Professional	26	$103.29	$129.11	$255.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $500.39 / $625.49 / $1,235.94	Professional	TC	$500.39	$625.49	$1,235.94
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 $1,782.62 / $1,782.62 / $1,782.62	Professional		$1,782.62	$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 $292.62 / $400.02 / $708.32	Professional		$292.62	$400.02	$708.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $305.60 / $569.01	Professional		$72.09	$305.60	$569.01