Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.61 / $133.60 / $179.05	Facility	26	$55.61	$133.60	$179.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.94 / $155.75 / $914.58	Professional		$152.94	$155.75	$914.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $55.61 / $314.83	Professional	26	$53.70	$55.61	$314.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.33 / $102.06 / $599.69	Professional	TC	$97.33	$102.06	$599.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.13 / $249.91 / $350.23	Professional		$148.13	$249.91	$350.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.54 / $88.54 / $121.70	Professional	26	$53.54	$88.54	$121.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $94.59 / $159.62 / $223.62	Professional	TC	$94.59	$159.62	$223.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.83 / $370.77 / $776.41	Professional		$304.83	$370.77	$776.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.97 / $124.65 / $153.59	Professional	26	$60.97	$124.65	$153.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $197.10 / $242.98 / $627.24	Professional	TC	$197.10	$242.98	$627.24
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $261.89 / $261.89 / $261.89	Facility	26	$261.89	$261.89	$261.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $423.78 / $566.04 / $1,731.57	Professional		$423.78	$566.04	$1,731.57
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $91.60 / $113.20 / $367.94	Professional	26	$91.60	$113.20	$367.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $332.18 / $452.85 / $1,410.54	Professional	TC	$332.18	$452.85	$1,410.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.09 / $327.60 / $424.47	Professional		$251.09	$327.60	$424.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.01 / $297.25 / $565.04	Professional		$65.01	$297.25	$565.04
United Facility/Professional Professional Modifier Low / Median / High Price $423.78 / $616.41 / $743.89	Professional		$423.78	$616.41	$743.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $88.82 / $116.10 / $142.40	Professional	26	$88.82	$116.10	$142.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $332.18 / $464.46 / $604.30	Professional	TC	$332.18	$464.46	$604.30