Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.65 / $139.01 / $186.14	Facility	26	$56.65	$139.01	$186.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.64 / $187.00 / $277.80	Professional		$109.64	$187.00	$277.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.65 / $59.28 / $324.45	Professional	26	$56.65	$59.28	$324.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.00 / $70.95 / $330.42	Professional	TC	$53.00	$70.95	$330.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.34 / $177.63 / $241.71	Professional		$106.34	$177.63	$241.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.60 / $92.12 / $124.11	Professional	26	$54.60	$92.12	$124.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.74 / $85.54 / $117.59	Professional	TC	$51.74	$85.54	$117.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.11 / $262.52 / $314.47	Professional		$128.11	$262.52	$314.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.73 / $124.65 / $161.05	Professional	26	$62.73	$124.65	$161.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.93 / $128.53 / $173.00	Professional	TC	$63.93	$128.53	$173.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $352.88 / $352.88 / $352.88	Facility	26	$352.88	$352.88	$352.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $185.98 / $258.05 / $1,060.27	Professional		$185.98	$258.05	$1,060.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $94.74 / $117.72 / $369.36	Professional	26	$94.74	$117.72	$369.36
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $89.39 / $124.03 / $707.89	Professional	TC	$89.39	$124.03	$707.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $180.68 / $249.74 / $320.56	Professional		$180.68	$249.74	$320.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $301.60 / $304.70 / $346.80	Professional		$301.60	$304.70	$346.80
United Facility/Professional Professional Modifier Low / Median / High Price $185.98 / $261.49 / $287.70	Professional		$185.98	$261.49	$287.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $96.59 / $135.11 / $148.65	Professional	26	$96.59	$135.11	$148.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $92.19 / $118.68 / $157.91	Professional	TC	$92.19	$118.68	$157.91