Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.39 / $34.39 / $34.39	Facility	26	$34.39	$34.39	$34.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.05 / $297.76 / $372.78	Professional		$229.05	$297.76	$372.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.39 / $37.29 / $62.86	Professional	26	$34.39	$37.29	$62.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.66 / $231.15 / $260.68	Professional	TC	$194.66	$231.15	$260.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.50 / $370.32 / $498.88	Professional		$219.50	$370.32	$498.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.71 / $55.18 / $74.34	Professional	26	$32.71	$55.18	$74.34
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $186.80 / $315.13 / $424.54	Professional	TC	$186.80	$315.13	$424.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.01 / $542.33 / $670.46	Professional		$260.01	$542.33	$670.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.51 / $80.70 / $97.62	Professional	26	$39.51	$80.70	$97.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.94 / $461.48 / $572.84	Professional	TC	$218.94	$461.48	$572.84
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $171.05 / $171.05 / $171.05	Facility	26	$171.05	$171.05	$171.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $382.40 / $481.50 / $707.07	Professional		$382.40	$481.50	$707.07
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $58.49 / $71.48 / $105.72	Professional	26	$58.49	$71.48	$105.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $329.31 / $410.01 / $601.35	Professional	TC	$329.31	$410.01	$601.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.44 / $545.67 / $670.46	Professional		$457.44	$545.67	$670.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $692.70 / $692.70 / $692.70	Professional		$692.70	$692.70	$692.70
United Facility/Professional Professional Modifier Low / Median / High Price $377.79 / $508.18 / $605.69	Professional		$377.79	$508.18	$605.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.66 / $73.31 / $89.93	Professional	26	$58.66	$73.31	$89.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $321.70 / $410.01 / $515.76	Professional	TC	$321.70	$410.01	$515.76