Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.59 / $38.65 / $104.91	Facility	26	$11.59	$38.65	$104.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.70 / $78.05 / $224.00	Professional		$37.70	$78.05	$224.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.35 / $26.38 / $66.00	Professional	26	$11.35	$26.38	$66.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.81 / $30.71 / $158.00	Professional	TC	$28.81	$30.71	$158.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.57 / $20.63 / $27.17	Professional	26	$10.57	$20.63	$27.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $80.54 / $82.54	Professional		$75.34	$80.54	$82.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $22.34 / $23.48	Professional	26	$20.89	$22.34	$23.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.81 / $58.20 / $59.65	Professional	TC	$52.81	$58.20	$59.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.94 / $65.94 / $65.94	Facility	26	$65.94	$65.94	$65.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.97 / $93.21 / $127.02	Professional		$42.97	$93.21	$127.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.92 / $26.07 / $33.94	Professional	26	$13.92	$26.07	$33.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.01 / $67.47 / $93.08	Professional	TC	$30.01	$67.47	$93.08
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 $47.28 / $76.83 / $282.36	Professional		$47.28	$76.83	$282.36
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.88 / $23.84 / $90.81	Professional	26	$14.88	$23.84	$90.81
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $32.40 / $52.65 / $211.00	Professional	TC	$32.40	$52.65	$211.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $39.11 / $40.26 / $65.94	Facility	26	$39.11	$40.26	$65.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $85.20 / $111.69	Professional		$64.00	$85.20	$111.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $32.49 / $71.61	Professional		$11.76	$32.49	$71.61
United Facility/Professional Professional Modifier Low / Median / High Price $47.28 / $67.69 / $96.65	Professional		$47.28	$67.69	$96.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.88 / $23.84 / $30.42	Professional	26	$14.88	$23.84	$30.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.40 / $52.65 / $67.50	Professional	TC	$32.40	$52.65	$67.50