Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.32 / $67.47 / $113.72	Facility	26	$13.32	$67.47	$113.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $42.18 / $234.00	Professional		$39.61	$42.18	$234.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.18 / $13.69 / $33.31	Professional	26	$12.18	$13.69	$33.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.95 / $27.94 / $67.31	Professional	TC	$25.95	$27.94	$67.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.37 / $26.37 / $31.04	Professional	26	$26.37	$26.37	$31.04
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $54.86 / $54.86 / $54.86	Professional	TC	$54.86	$54.86	$54.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.12 / $81.37 / $83.40	Professional		$76.12	$81.37	$83.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.53 / $26.21 / $26.87	Professional	26	$24.53	$26.21	$26.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $49.78 / $55.14 / $56.52	Professional	TC	$49.78	$55.14	$56.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.40 / $77.40 / $77.40	Facility	26	$77.40	$77.40	$77.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.86 / $93.21 / $127.02	Professional		$43.86	$93.21	$127.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.07 / $30.59 / $38.79	Professional	26	$16.07	$30.59	$38.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.85 / $63.24 / $88.24	Professional	TC	$28.85	$63.24	$88.24
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 $48.23 / $78.38 / $282.23	Professional		$48.23	$78.38	$282.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.39 / $27.98 / $100.72	Professional	26	$17.39	$27.98	$100.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.83 / $50.10 / $254.00	Professional	TC	$30.83	$50.10	$254.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $41.07 / $42.26 / $77.40	Facility	26	$41.07	$42.26	$77.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $89.78 / $111.68	Professional		$72.20	$89.78	$111.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $30.67 / $71.81	Professional		$13.41	$30.67	$71.81
United Facility/Professional Professional Modifier Low / Median / High Price $48.23 / $77.44 / $98.59	Professional		$48.23	$77.44	$98.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.39 / $26.57 / $35.57	Professional	26	$17.39	$26.57	$35.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.83 / $50.10 / $63.02	Professional	TC	$30.83	$50.10	$63.02