Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.62 / $30.62 / $30.62	Facility	26	$30.62	$30.62	$30.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $95.90 / $118.66	Professional		$81.84	$95.90	$118.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.62 / $32.86 / $72.95	Professional	26	$30.62	$32.86	$72.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.34 / $135.53 / $182.59	Professional		$80.34	$135.53	$182.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.30 / $49.40 / $66.59	Professional	26	$29.30	$49.40	$66.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.51 / $188.43 / $367.54	Professional		$122.51	$188.43	$367.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.53 / $66.87 / $126.60	Professional	26	$46.53	$66.87	$126.60
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $74.91 / $140.77 / $140.77	Facility	26	$74.91	$140.77	$140.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.16 / $171.60 / $560.38	Professional		$136.16	$171.60	$560.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $50.76 / $63.92 / $201.28	Professional	26	$50.76	$63.92	$201.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.09 / $187.33 / $234.62	Professional		$162.09	$187.33	$234.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $101.83 / $181.31	Professional		$35.74	$101.83	$181.31
United Facility/Professional Professional Modifier Low / Median / High Price $112.96 / $171.60 / $210.47	Professional		$112.96	$171.60	$210.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.00 / $62.46 / $80.34	Professional	26	$44.00	$62.46	$80.34