Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.65 / $53.84 / $90.76	Facility	26	$9.65	$53.84	$90.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $19.26 / $87.42	Professional		$16.86	$19.26	$87.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.14 / $22.86 / $30.45	Professional	26	$9.14	$22.86	$30.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.52 / $7.69 / $49.19	Professional	TC	$7.52	$7.69	$49.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.13 / $22.51 / $23.20	Professional	26	$19.13	$22.51	$23.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.68 / $33.85 / $34.89	Professional		$31.68	$33.85	$34.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.21 / $18.39 / $19.32	Professional	26	$17.21	$18.39	$19.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.46 / $15.46 / $15.85	Professional	TC	$14.46	$15.46	$15.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.30 / $54.30 / $54.30	Facility	26	$54.30	$54.30	$54.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $42.15 / $56.02	Professional		$19.88	$42.15	$56.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.67 / $21.46 / $28.12	Professional	26	$11.67	$21.46	$28.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.78 / $19.02 / $30.56	Professional	TC	$9.78	$19.02	$30.56
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 $21.50 / $35.40 / $206.87	Professional		$21.50	$35.40	$206.87
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.32 / $19.67 / $105.66	Professional	26	$12.32	$19.67	$105.66
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $9.18 / $15.94 / $129.58	Professional	TC	$9.18	$15.94	$129.58
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $33.53 / $34.50 / $54.30	Facility	26	$33.53	$34.50	$54.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.32 / $42.15 / $54.55	Professional		$34.32	$42.15	$54.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.97 / $17.05 / $33.38	Professional		$8.97	$17.05	$33.38
United Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $34.95 / $44.80	Professional		$21.50	$34.95	$44.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.32 / $19.61 / $25.19	Professional	26	$12.32	$19.61	$25.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.18 / $15.79 / $19.12	Professional	TC	$9.18	$15.79	$19.12