Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.72 / $43.72 / $43.72	Facility	26	$43.72	$43.72	$43.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.94 / $94.77 / $104.64	Professional		$74.94	$94.77	$104.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.79 / $49.67 / $57.36	Professional	TC	$36.79	$49.67	$57.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $144.93 / $203.03	Professional		$89.34	$144.93	$203.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.59 / $73.95 / $103.62	Professional	TC	$45.59	$73.95	$103.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.75 / $198.48 / $234.18	Professional		$178.75	$198.48	$234.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.83 / $96.90 / $118.15	Professional	TC	$85.83	$96.90	$118.15
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $202.83 / $202.83 / $202.83	Facility	26	$202.83	$202.83	$202.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $142.41 / $186.16 / $646.83	Professional		$142.41	$186.16	$646.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $62.13 / $91.60 / $354.71	Professional	TC	$62.13	$91.60	$354.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $118.05 / $197.80 / $245.94	Professional		$118.05	$197.80	$245.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.59 / $89.72 / $180.65	Professional		$48.59	$89.72	$180.65
United Facility/Professional Professional Modifier Low / Median / High Price $142.41 / $206.64 / $228.33	Professional		$142.41	$206.64	$228.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.48 / $101.68 / $122.74	Professional	TC	$64.48	$101.68	$122.74