Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.67 / $53.67 / $53.67	Facility	26	$53.67	$53.67	$53.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.98 / $386.01 / $769.30	Professional		$287.98	$386.01	$769.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $242.33 / $332.34 / $432.04	Professional	TC	$242.33	$332.34	$432.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.22 / $622.64 / $868.66	Professional		$382.22	$622.64	$868.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $329.06 / $535.77 / $747.89	Professional	TC	$329.06	$535.77	$747.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $710.09 / $890.55 / $955.55	Professional		$710.09	$890.55	$955.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $598.03 / $770.21 / $822.22	Professional	TC	$598.03	$770.21	$822.22
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $347.00 / $347.00 / $347.00	Facility	26	$347.00	$347.00	$347.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $397.00 / $714.70 / $2,673.66	Professional		$397.00	$714.70	$2,673.66
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $317.83 / $601.65 / $2,317.40	Professional	TC	$317.83	$601.65	$2,317.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $431.15 / $727.84 / $955.55	Professional		$431.15	$727.84	$955.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.41 / $435.68 / $843.27	Professional		$63.41	$435.68	$843.27
United Facility/Professional Professional Modifier Low / Median / High Price $440.25 / $714.70 / $950.95	Professional		$440.25	$714.70	$950.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $472.07 / $684.96 / $792.63	Professional	TC	$472.07	$684.96	$792.63