Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.39 / $37.60 / $63.38	Facility	26	$7.39	$37.60	$63.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $42.81 / $114.12	Professional		$21.74	$42.81	$114.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.26 / $15.21 / $18.48	Professional	26	$7.26	$15.21	$18.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.78 / $15.56 / $41.69	Professional	TC	$14.78	$15.56	$41.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.90 / $10.16 / $17.18	Professional	26	$7.90	$10.16	$17.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $29.26 / $29.26 / $29.26	Professional	TC	$29.26	$29.26	$29.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $44.64 / $45.85	Professional		$41.75	$44.64	$45.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $14.52 / $14.88	Professional	26	$13.58	$14.52	$14.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $30.12 / $30.87	Professional	TC	$28.18	$30.12	$30.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.84 / $42.84 / $42.84	Facility	26	$42.84	$42.84	$42.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $51.80 / $69.81	Professional		$24.63	$51.80	$69.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $16.91 / $21.33	Professional	26	$9.02	$16.91	$21.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.79 / $34.90 / $48.48	Professional	TC	$16.79	$34.90	$48.48
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 $26.86 / $43.64 / $542.00	Professional		$26.86	$43.64	$542.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $15.29 / $62.74	Professional	26	$9.41	$15.29	$62.74
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.45 / $28.35 / $498.00	Professional	TC	$17.45	$28.35	$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 / $65.56	Professional		$39.00	$47.66	$65.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $21.71 / $40.45	Professional		$7.86	$21.71	$40.45
United Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $43.13 / $54.90	Professional		$26.86	$43.13	$54.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $15.29 / $19.23	Professional	26	$9.41	$15.29	$19.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.45 / $29.62 / $35.67	Professional	TC	$17.45	$29.62	$35.67