Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $26.30 / $100.00	Facility	26	$15.85	$26.30	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $43.65 / $104.71	Professional		$17.78	$43.65	$104.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $21.38 / $32.36	Professional	26	$11.48	$21.38	$32.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $35.48 / $66.07	Professional	TC	$23.99	$35.48	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.90 / $66.07	Professional		$25.12	$30.90	$66.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $14.13 / $26.92	Professional	26	$9.77	$14.13	$26.92
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $31.62 / $53.70	Professional	TC	$21.88	$31.62	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $75.86 / $79.43	Professional		$70.79	$75.86	$79.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $23.99 / $25.70	Professional	26	$22.91	$23.99	$25.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $52.48 / $54.95	Professional	TC	$47.86	$52.48	$54.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $72.44 / $72.44	Facility	26	$72.44	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $79.43 / $125.89	Professional		$33.11	$79.43	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $25.70 / $36.31	Professional	26	$11.75	$25.70	$36.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $54.95 / $89.13	Professional	TC	$22.39	$54.95	$89.13
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 $43.65 / $61.66 / $269.15	Professional		$43.65	$61.66	$269.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $23.99 / $38.02	Professional	26	$15.85	$23.99	$38.02
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $40.74 / $229.09	Professional	TC	$28.84	$40.74	$229.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $89.13 / $141.25	Professional		$79.43	$89.13	$141.25
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $28.18 / $42.66	Professional	26	$25.12	$28.18	$42.66
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $61.66 / $100.00	Professional	TC	$54.95	$61.66	$100.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $72.44 / $72.44	Facility	26	$72.44	$72.44	$72.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $70.79 / $141.25	Professional		$67.61	$70.79	$141.25
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $25.70 / $42.66	Professional	26	$21.88	$25.70	$42.66
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $44.67 / $100.00	Professional	TC	$43.65	$44.67	$100.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $30.20 / $70.79	Professional		$13.49	$30.20	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $93.33	Professional		$40.74	$58.88	$93.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $20.42 / $32.36	Professional	26	$13.80	$20.42	$32.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $38.02 / $61.66	Professional	TC	$26.30	$38.02	$61.66