Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $26.92 / $81.28	Facility	26	$19.05	$26.92	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $169.82	Professional		$30.20	$36.31	$169.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.96 / $50.12	Professional	26	$7.08	$10.96	$50.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $27.54 / $72.44	Professional	TC	$21.88	$27.54	$72.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $6.61 / $6.61	Professional	26	$6.61	$6.61	$6.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $69.18 / $74.13	Professional		$64.57	$69.18	$74.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $16.22 / $17.38	Professional	26	$15.49	$16.22	$17.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $53.70 / $56.23	Professional	TC	$48.98	$53.70	$56.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $48.98 / $48.98	Facility	26	$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $72.44 / $114.82	Professional		$29.51	$72.44	$114.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $18.20 / $24.55	Professional	26	$7.94	$18.20	$24.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $54.95 / $91.20	Professional	TC	$22.91	$54.95	$91.20
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 $33.88 / $54.95 / $295.12	Professional		$33.88	$54.95	$295.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $14.45 / $54.95	Professional	26	$10.72	$14.45	$54.95
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $39.81 / $281.84	Professional	TC	$23.44	$39.81	$281.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $81.28 / $131.83	Professional		$74.13	$81.28	$131.83
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $19.05 / $29.51	Professional	26	$16.98	$19.05	$29.51
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $63.10 / $102.33	Professional	TC	$54.95	$63.10	$102.33
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $48.98 / $48.98	Facility	26	$48.98	$48.98	$48.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $52.48 / $131.83	Professional		$50.12	$52.48	$131.83
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $18.20 / $29.51	Professional	26	$15.14	$18.20	$29.51
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $34.67 / $102.33	Professional	TC	$34.67	$34.67	$102.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $32.36 / $69.18	Professional		$9.33	$32.36	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $85.11	Professional		$33.11	$50.12	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $14.13 / $21.88	Professional	26	$9.33	$14.13	$21.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $37.15 / $61.66	Professional	TC	$23.44	$37.15	$61.66