Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.36 / $25.67 / $69.48	Facility	26	$8.36	$25.67	$69.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $35.04 / $155.00	Professional		$27.64	$35.04	$155.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $17.98 / $43.00	Professional	26	$8.13	$17.98	$43.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $21.13 / $98.21	Professional	TC	$17.57	$21.13	$98.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.96 / $14.80 / $19.48	Professional	26	$8.96	$14.80	$19.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.85 / $57.56 / $59.00	Professional		$53.85	$57.56	$59.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.39 / $16.46 / $16.87	Professional	26	$15.39	$16.46	$16.87
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 $48.60 / $48.60 / $48.60	Facility	26	$48.60	$48.60	$48.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $66.81 / $91.14	Professional		$33.94	$66.81	$91.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.15 / $19.19 / $24.24	Professional	26	$10.15	$19.19	$24.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.79 / $47.62 / $66.90	Professional	TC	$23.79	$47.62	$66.90
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 $34.02 / $55.29 / $202.27	Professional		$34.02	$55.29	$202.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.67 / $16.95 / $111.75	Professional	26	$10.67	$16.95	$111.75
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.35 / $37.95 / $146.99	Professional	TC	$23.35	$37.95	$146.99
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $26.73 / $27.51 / $48.60	Facility	26	$26.73	$27.51	$48.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $62.70 / $83.66	Professional		$44.00	$62.70	$83.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $23.95 / $52.34	Professional		$8.84	$23.95	$52.34
United Facility/Professional Professional Modifier Low / Median / High Price $29.66 / $54.63 / $69.54	Professional		$29.66	$54.63	$69.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.67 / $16.95 / $21.81	Professional	26	$10.67	$16.95	$21.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.35 / $37.95 / $47.73	Professional	TC	$23.35	$37.95	$47.73