Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.56 / $12.64 / $12.64	Facility	26	$12.56	$12.64	$12.64
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.01 / $27.01 / $28.93	Facility	TC	$27.01	$27.01	$28.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $39.65 / $223.00	Professional		$35.46	$39.65	$223.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.58 / $14.15 / $31.92	Professional	26	$12.58	$14.15	$31.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.89 / $27.01 / $159.91	Professional	TC	$22.89	$27.01	$159.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.55 / $13.55 / $13.55	Professional	26	$13.55	$13.55	$13.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.15 / $78.20 / $80.15	Professional		$73.15	$78.20	$80.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.28 / $24.89 / $26.16	Professional	26	$23.28	$24.89	$26.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $49.89 / $53.32 / $54.64	Professional	TC	$49.89	$53.32	$54.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.44 / $73.44 / $73.44	Facility	26	$73.44	$73.44	$73.44
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $157.32 / $157.32 / $157.32	Facility	TC	$157.32	$157.32	$157.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.01 / $89.67 / $122.17	Professional		$42.01	$89.67	$122.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.05 / $28.34 / $36.85	Professional	26	$15.05	$28.34	$36.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.07 / $61.82 / $85.33	Professional	TC	$28.07	$61.82	$85.33
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $70.00 / $70.00 / $70.00	Facility	26	$70.00	$70.00	$70.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $131.69 / $131.69 / $131.69	Facility	TC	$131.69	$131.69	$131.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $75.04 / $271.47	Professional		$46.18	$75.04	$271.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.14 / $26.23 / $81.06	Professional	26	$16.14	$26.23	$81.06
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $29.45 / $48.81 / $190.40	Professional	TC	$29.45	$48.81	$190.40
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $46.00 / $47.34 / $73.44	Facility	26	$46.00	$47.34	$73.44
Midlands Facility/Professional Facility Modifier TC Low / Median / High Price $51.22 / $82.74 / $157.32	Facility	TC	$51.22	$82.74	$157.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $75.41 / $89.67 / $112.93	Professional		$75.41	$89.67	$112.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $30.44 / $69.08	Professional		$13.09	$30.44	$69.08
United Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $65.47 / $94.39	Professional		$46.18	$65.47	$94.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.14 / $26.80 / $32.99	Professional	26	$16.14	$26.80	$32.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.04 / $48.81 / $61.40	Professional	TC	$30.04	$48.81	$61.40