Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.00 / $40.78 / $110.67	Facility	26	$12.00	$40.78	$110.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.10 / $75.00 / $231.00	Professional		$43.10	$75.00	$231.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.89 / $28.51 / $65.00	Professional	26	$11.89	$28.51	$65.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.21 / $41.92 / $173.00	Professional	TC	$31.21	$41.92	$173.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.57 / $16.57 / $22.94	Professional	26	$16.57	$16.57	$22.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.68 / $87.31 / $89.50	Professional		$81.68	$87.31	$89.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.10 / $23.62 / $24.84	Professional	26	$22.10	$23.62	$24.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.39 / $63.70 / $65.29	Professional	TC	$58.39	$63.70	$65.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.72 / $69.72 / $69.72	Facility	26	$69.72	$69.72	$69.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.54 / $99.64 / $136.72	Professional		$46.54	$99.64	$136.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.54 / $27.55 / $34.90	Professional	26	$14.54	$27.55	$34.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $73.30 / $101.81	Professional	TC	$33.11	$73.30	$101.81
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 $51.26 / $83.31 / $306.22	Professional		$51.26	$83.31	$306.22
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $25.44 / $95.76	Professional	26	$15.71	$25.44	$95.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $35.54 / $57.78 / $250.00	Professional	TC	$35.54	$57.78	$250.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $39.33 / $40.47 / $69.72	Facility	26	$39.33	$40.47	$69.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $92.32 / $117.70	Professional		$73.00	$92.32	$117.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $36.94 / $79.29	Professional		$12.77	$36.94	$79.29
United Facility/Professional Professional Modifier Low / Median / High Price $51.26 / $75.02 / $104.79	Professional		$51.26	$75.02	$104.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $25.20 / $32.11	Professional	26	$15.71	$25.20	$32.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.54 / $60.33 / $72.68	Professional	TC	$35.54	$60.33	$72.68