Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.34 / $76.34 / $76.34	Facility	26	$76.34	$76.34	$76.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.08 / $150.99 / $388.39	Professional		$130.08	$150.99	$388.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.34 / $76.34 / $124.21	Professional	26	$65.34	$76.34	$124.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.39 / $69.18 / $87.85	Professional	TC	$51.39	$69.18	$87.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.50 / $243.72 / $339.79	Professional		$149.50	$243.72	$339.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.59 / $123.86 / $171.80	Professional	26	$75.59	$123.86	$171.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $73.90 / $119.89 / $167.97	Professional	TC	$73.90	$119.89	$167.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.99 / $345.85 / $420.36	Professional		$300.99	$345.85	$420.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $152.93 / $172.22 / $206.82	Professional	26	$152.93	$172.22	$206.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $148.03 / $166.35 / $213.54	Professional	TC	$148.03	$166.35	$213.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $358.77 / $358.77 / $358.77	Facility	26	$358.77	$358.77	$358.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $192.76 / $325.54 / $1,053.48	Professional		$192.76	$325.54	$1,053.48
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $129.04 / $161.30 / $509.36	Professional	26	$129.04	$161.30	$509.36
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $64.72 / $164.24 / $544.05	Professional	TC	$64.72	$164.24	$544.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.00 / $331.56 / $433.91	Professional		$199.00	$331.56	$433.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.69 / $158.10 / $314.50	Professional		$85.69	$158.10	$314.50
United Facility/Professional Professional Modifier Low / Median / High Price $209.80 / $292.99 / $396.20	Professional		$209.80	$292.99	$396.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $129.04 / $157.27 / $197.83	Professional	26	$129.04	$157.27	$197.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.39 / $167.33 / $201.44	Professional	TC	$78.39	$167.33	$201.44