Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.43 / $21.43 / $21.43	Facility	26	$21.43	$21.43	$21.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.11 / $77.65 / $124.00	Professional		$71.11	$77.65	$124.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.43 / $22.95 / $31.22	Professional	26	$21.43	$22.95	$31.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.95 / $98.87 / $138.53	Professional		$60.95	$98.87	$138.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.51 / $33.43 / $46.60	Professional	26	$20.51	$33.43	$46.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.14 / $146.26 / $283.43	Professional		$98.14	$146.26	$283.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.00 / $48.35 / $89.20	Professional	26	$33.00	$48.35	$89.20
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $51.03 / $95.38 / $95.38	Facility	26	$51.03	$95.38	$95.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.49 / $143.12 / $437.32	Professional		$109.49	$143.12	$437.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $35.83 / $45.10 / $141.18	Professional	26	$35.83	$45.10	$141.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $122.12 / $157.87 / $193.98	Professional		$122.12	$157.87	$193.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $72.95 / $132.44	Professional		$24.31	$72.95	$132.44
United Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $137.18 / $175.54	Professional		$97.44	$137.18	$175.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.23 / $45.10 / $56.74	Professional	26	$30.23	$45.10	$56.74