Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $51.38 / $86.60	Facility	26	$9.33	$51.38	$86.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.06 / $30.13 / $166.00	Professional		$28.06	$30.13	$166.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $21.32 / $23.42	Professional	26	$8.71	$21.32	$23.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.35 / $22.42 / $51.04	Professional	TC	$19.35	$22.42	$51.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.98 / $10.02 / $21.71	Professional	26	$9.98	$10.02	$21.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.03 / $58.84 / $60.31	Professional		$55.03	$58.84	$60.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.59 / $17.73 / $19.27	Professional	26	$16.59	$17.73	$19.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.45 / $41.10 / $42.13	Professional	TC	$38.45	$41.10	$42.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.32 / $52.32 / $52.32	Facility	26	$52.32	$52.32	$52.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $68.31 / $93.08	Professional		$31.80	$68.31	$93.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.29 / $21.40 / $27.15	Professional	26	$11.29	$21.40	$27.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.24 / $46.93 / $65.93	Professional	TC	$22.24	$46.93	$65.93
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 $34.85 / $56.62 / $206.60	Professional		$34.85	$56.62	$206.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.89 / $19.32 / $78.44	Professional	26	$11.89	$19.32	$78.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.96 / $37.29 / $193.00	Professional	TC	$22.96	$37.29	$193.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $32.25 / $33.19 / $52.32	Facility	26	$32.25	$33.19	$52.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.40 / $81.34	Professional		$55.00	$65.40	$81.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $23.60 / $54.32	Professional		$10.07	$23.60	$54.32
United Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $56.62 / $71.23	Professional		$34.85	$56.62	$71.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.89 / $18.95 / $24.31	Professional	26	$11.89	$18.95	$24.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.96 / $36.86 / $46.93	Professional	TC	$22.96	$36.86	$46.93