Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.36 / $25.67 / $69.48	Facility	26	$8.36	$25.67	$69.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $30.81 / $172.00	Professional		$25.85	$30.81	$172.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.98 / $18.19 / $39.22	Professional	26	$7.98	$18.19	$39.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $59.24 / $59.24 / $59.24	Professional	50	$59.24	$59.24	$59.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.50 / $22.06 / $130.65	Professional	TC	$20.50	$22.06	$130.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.96 / $12.00 / $19.48	Professional	26	$8.96	$12.00	$19.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.13 / $60.00 / $61.50	Professional		$56.13	$60.00	$61.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.82 / $15.84 / $16.71	Professional	26	$14.82	$15.84	$16.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.03 / $44.11 / $45.25	Professional	TC	$40.03	$44.11	$45.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.80 / $46.80 / $46.80	Facility	26	$46.80	$46.80	$46.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.36 / $68.95 / $95.99	Professional		$31.36	$68.95	$95.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.15 / $19.19 / $24.24	Professional	26	$10.15	$19.19	$24.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.01 / $49.76 / $71.75	Professional	TC	$23.01	$49.76	$71.75
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $55.85 / $208.77	Professional		$34.36	$55.85	$208.77
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.84 / $15.99 / $82.56	Professional	26	$9.84	$15.99	$82.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.53 / $39.86 / $153.47	Professional	TC	$24.53	$39.86	$153.47
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $26.57 / $27.35 / $46.80	Facility	26	$26.57	$27.35	$46.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $63.52 / $84.67	Professional		$44.00	$63.52	$84.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $24.95 / $54.32	Professional		$8.74	$24.95	$54.32
United Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $50.86 / $70.25	Professional		$34.36	$50.86	$70.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.84 / $15.99 / $20.11	Professional	26	$9.84	$15.99	$20.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.74 / $39.39 / $50.14	Professional	TC	$22.74	$39.39	$50.14