Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.09 / $13.10 / $37.60	Facility	26	$7.09	$13.10	$37.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $23.75 / $42.81	Professional		$21.02	$23.75	$42.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $7.42 / $17.16	Professional	26	$6.74	$7.42	$17.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.31 / $16.35 / $31.09	Professional	TC	$14.31	$16.35	$31.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.09 / $24.81 / $25.54	Facility	26	$24.09	$24.81	$25.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.75 / $55.85 / $69.81	Professional		$24.75	$55.85	$69.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.21 / $17.07 / $23.65	Professional	26	$8.21	$17.07	$23.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.54 / $38.79 / $48.48	Professional	TC	$16.54	$38.79	$48.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $35.82 / $74.40	Professional		$21.37	$35.82	$74.40
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.17 / $11.23 / $22.60	Professional	26	$7.17	$11.23	$22.60
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $14.20 / $22.77 / $43.19	Professional	TC	$14.20	$22.77	$43.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $24.81 / $100.00 / $100.00	Facility	26	$24.81	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.69 / $38.31 / $542.00	Professional		$22.69	$38.31	$542.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.89 / $10.27 / $62.74	Professional	26	$7.89	$10.27	$62.74
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $14.56 / $19.48 / $498.00	Professional	TC	$14.56	$19.48	$498.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $24.81 / $25.54 / $42.84	Facility	26	$24.81	$25.54	$42.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $47.66 / $82.64	Professional		$39.00	$47.66	$82.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $17.11 / $40.45	Professional		$7.75	$17.11	$40.45
United Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $28.06 / $45.98	Professional		$22.45	$28.06	$45.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.89 / $9.83 / $16.39	Professional	26	$7.89	$9.83	$16.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.56 / $18.96 / $29.62	Professional	TC	$14.56	$18.96	$29.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $32.94 / $41.70 / $49.00	Professional		$32.94	$41.70	$49.00
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $13.10 / $15.40	Professional	26	$10.35	$13.10	$15.40
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $22.52 / $28.50 / $33.60	Professional	TC	$22.52	$28.50	$33.60