Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.78 / $49.52 / $134.47	Facility	26	$14.78	$49.52	$134.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.68 / $62.21 / $288.38	Professional		$47.68	$62.21	$288.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.39 / $34.90 / $64.69	Professional	26	$14.39	$34.90	$64.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.09 / $44.75 / $78.77	Professional	TC	$34.09	$44.75	$78.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.92 / $27.09 / $34.38	Professional	26	$15.92	$27.09	$34.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $97.00 / $99.42	Professional		$90.73	$97.00	$99.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.17 / $29.03 / $30.51	Professional	26	$27.17	$29.03	$30.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.57 / $67.95 / $69.65	Professional	TC	$63.57	$67.95	$69.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.68 / $85.68 / $85.68	Facility	26	$85.68	$85.68	$85.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.08 / $111.72 / $153.19	Professional		$52.08	$111.72	$153.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.05 / $33.65 / $43.63	Professional	26	$18.05	$33.65	$43.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.46 / $78.81 / $109.57	Professional	TC	$35.46	$78.81	$109.57
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 $57.40 / $93.26 / $338.57	Professional		$57.40	$93.26	$338.57
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.10 / $30.96 / $117.24	Professional	26	$19.10	$30.96	$117.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $38.29 / $62.41 / $291.00	Professional	TC	$38.29	$62.41	$291.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $49.78 / $51.23 / $85.68	Facility	26	$49.78	$51.23	$85.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $84.69 / $108.21 / $134.76	Professional		$84.69	$108.21	$134.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $37.79 / $86.23	Professional		$15.39	$37.79	$86.23
United Facility/Professional Professional Modifier Low / Median / High Price $57.40 / $92.17 / $117.33	Professional		$57.40	$92.17	$117.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.10 / $30.66 / $39.03	Professional	26	$19.10	$30.66	$39.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.29 / $68.68 / $78.30	Professional	TC	$38.29	$68.68	$78.30