Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.50 / $42.50 / $42.50	Facility	26	$42.50	$42.50	$42.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.66 / $337.41 / $420.27	Professional		$260.66	$337.41	$420.27
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $130.33 / $168.71 / $210.14	Professional	52	$130.33	$168.71	$210.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $224.12 / $294.89 / $371.70	Professional	TC	$224.12	$294.89	$371.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.44 / $564.23 / $760.11	Professional		$334.44	$564.23	$760.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $293.44 / $495.06 / $666.92	Professional	TC	$293.44	$495.06	$666.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $637.10 / $776.71 / $866.12	Professional		$637.10	$776.71	$866.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $548.08 / $680.89 / $759.96	Professional	TC	$548.08	$680.89	$759.96
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $201.33 / $201.33 / $201.33	Facility	26	$201.33	$201.33	$201.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $496.73 / $649.32 / $2,332.00	Professional		$496.73	$649.32	$2,332.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $426.88 / $559.34 / $2,048.28	Professional	TC	$426.88	$559.34	$2,048.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $498.15 / $662.61 / $884.13	Professional		$498.15	$662.61	$884.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $388.49 / $754.49	Professional		$50.37	$388.49	$754.49
United Facility/Professional Professional Modifier Low / Median / High Price $519.46 / $669.39 / $846.90	Professional		$519.46	$669.39	$846.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $427.90 / $559.34 / $740.22	Professional	TC	$427.90	$559.34	$740.22