Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.60 / $25.60 / $25.60	Facility	26	$25.60	$25.60	$25.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.52 / $156.00 / $322.98	Professional		$103.52	$156.00	$322.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.88 / $129.07 / $281.33	Professional	TC	$81.88	$129.07	$281.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.62 / $271.62 / $369.60	Professional		$162.62	$271.62	$369.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $137.81 / $230.18 / $313.22	Professional	TC	$137.81	$230.18	$313.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.50 / $338.89 / $421.15	Professional		$243.50	$338.89	$421.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.71 / $287.20 / $356.92	Professional	TC	$190.71	$287.20	$356.92
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $121.12 / $121.12 / $121.12	Facility	26	$121.12	$121.12	$121.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $183.64 / $247.30 / $964.87	Professional		$183.64	$247.30	$964.87
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $140.19 / $194.14 / $798.40	Professional	TC	$140.19	$194.14	$798.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $159.61 / $305.85 / $380.67	Professional		$159.61	$305.85	$380.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $183.89 / $353.63	Professional		$30.38	$183.89	$353.63
United Facility/Professional Professional Modifier Low / Median / High Price $183.64 / $274.50 / $385.89	Professional		$183.64	$274.50	$385.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $148.52 / $194.14 / $336.24	Professional	TC	$148.52	$194.14	$336.24