Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.16 / $46.04 / $129.74	Facility	26	$15.16	$46.04	$129.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.86 / $95.25 / $206.54	Professional		$49.86	$95.25	$206.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.64 / $33.40 / $63.00	Professional	26	$12.64	$33.40	$63.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.54 / $60.14 / $136.00	Professional	TC	$34.54	$60.14	$136.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.15 / $117.88 / $117.88	Professional		$100.15	$117.88	$117.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.55 / $22.37 / $29.46	Professional	26	$13.55	$22.37	$29.46
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $46.45 / $72.58 / $75.12	Professional	TC	$46.45	$72.58	$75.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.57 / $98.95 / $101.43	Professional		$92.57	$98.95	$101.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.71 / $24.28 / $26.16	Professional	26	$22.71	$24.28	$26.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.04 / $74.43 / $76.54	Professional	TC	$67.04	$74.43	$76.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.64 / $71.64 / $71.64	Facility	26	$71.64	$71.64	$71.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.15 / $113.53 / $158.05	Professional		$51.15	$113.53	$158.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.05 / $29.07 / $36.85	Professional	26	$15.05	$29.07	$36.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.79 / $84.47 / $121.20	Professional	TC	$37.79	$84.47	$121.20
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $110.00 / $110.00 / $110.00	Facility	26	$110.00	$110.00	$110.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.41 / $91.67 / $343.08	Professional		$56.41	$91.67	$343.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.14 / $25.86 / $113.92	Professional	26	$16.14	$25.86	$113.92
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $40.27 / $65.44 / $259.85	Professional	TC	$40.27	$65.44	$259.85
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $49.74 / $51.19 / $71.64	Facility	26	$49.74	$51.19	$71.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $84.69 / $104.61 / $135.46	Professional		$84.69	$104.61	$135.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $48.31 / $92.32	Professional		$13.41	$48.31	$92.32
United Facility/Professional Professional Modifier Low / Median / High Price $56.41 / $90.59 / $115.32	Professional		$56.41	$90.59	$115.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.14 / $25.92 / $33.53	Professional	26	$16.14	$25.92	$33.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.27 / $65.44 / $82.32	Professional	TC	$40.27	$65.44	$82.32