Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.36 / $44.64 / $75.25	Facility	26	$8.36	$44.64	$75.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $35.97 / $211.69	Professional		$29.87	$35.97	$211.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.92 / $12.12 / $51.77	Professional	26	$7.92	$12.12	$51.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $27.63 / $159.91	Professional	TC	$21.94	$27.63	$159.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.90 / $16.00 / $16.00	Professional	26	$6.90	$16.00	$16.00
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $54.86 / $54.86 / $54.86	Professional	TC	$54.86	$54.86	$54.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $71.59 / $73.39	Professional		$66.98	$71.59	$73.39
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.39 / $16.46 / $17.30	Professional	26	$15.39	$16.46	$17.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $49.78 / $55.14 / $56.52	Professional	TC	$49.78	$55.14	$56.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.60 / $48.60 / $48.60	Facility	26	$48.60	$48.60	$48.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.03 / $81.70 / $112.48	Professional		$37.03	$81.70	$112.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.16 / $19.19 / $24.24	Professional	26	$10.16	$19.19	$24.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.68 / $62.51 / $88.24	Professional	TC	$27.68	$62.51	$88.24
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 $40.70 / $66.15 / $293.00	Professional		$40.70	$66.15	$293.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.67 / $17.34 / $55.28	Professional	26	$10.67	$17.34	$55.28
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.03 / $48.81 / $283.00	Professional	TC	$30.03	$48.81	$283.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $28.06 / $28.87 / $48.60	Facility	26	$28.06	$28.87	$48.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $75.75 / $99.70	Professional		$50.00	$75.75	$99.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $32.49 / $66.29	Professional		$8.83	$32.49	$66.29
United Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $65.36 / $83.21	Professional		$40.70	$65.36	$83.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.64 / $17.13 / $21.81	Professional	26	$10.64	$17.13	$21.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.43 / $42.47 / $61.40	Professional	TC	$23.43	$42.47	$61.40