Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.13 / $55.52 / $74.41	Facility	26	$22.13	$55.52	$74.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.32 / $209.81 / $884.80	Professional		$145.32	$209.81	$884.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.13 / $26.09 / $68.84	Professional	26	$22.13	$26.09	$68.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.19 / $186.50 / $361.64	Professional	TC	$123.19	$186.50	$361.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.03 / $237.05 / $322.79	Professional		$142.03	$237.05	$322.79
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 $121.09 / $200.94 / $275.23	Professional	TC	$121.09	$200.94	$275.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.24 / $341.51 / $419.61	Professional		$161.24	$341.51	$419.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.33 / $51.63 / $62.39	Professional	26	$25.33	$51.63	$62.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $143.38 / $289.66 / $361.16	Professional	TC	$143.38	$289.66	$361.16
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $236.27 / $236.27 / $236.27	Facility	26	$236.27	$236.27	$236.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $238.07 / $338.03 / $1,431.47	Professional		$238.07	$338.03	$1,431.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $37.56 / $46.26 / $293.89	Professional	26	$37.56	$46.26	$293.89
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $205.02 / $288.31 / $1,288.22	Professional	TC	$205.02	$288.31	$1,288.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $341.51 / $421.05	Professional		$220.00	$341.51	$421.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.06 / $245.07 / $395.30	Professional		$43.06	$245.07	$395.30
United Facility/Professional Professional Modifier Low / Median / High Price $238.07 / $338.03 / $381.32	Professional		$238.07	$338.03	$381.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.90 / $46.94 / $57.57	Professional	26	$35.90	$46.94	$57.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $196.05 / $288.31 / $323.25	Professional	TC	$196.05	$288.31	$323.25