Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.36 / $33.29 / $90.25	Facility	26	$10.36	$33.29	$90.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.75 / $46.26 / $195.00	Professional		$36.75	$46.26	$195.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.98 / $22.46 / $35.72	Professional	26	$9.98	$22.46	$35.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.75 / $35.88 / $148.00	Professional	TC	$24.75	$35.88	$148.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.17 / $14.87 / $24.15	Professional	26	$8.17	$14.87	$24.15
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.25 / $20.25 / $52.39	Professional	TC	$20.25	$20.25	$52.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.39 / $73.09 / $74.93	Professional		$68.39	$73.09	$74.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.09 / $20.39 / $20.94	Professional	26	$19.09	$20.39	$20.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.31 / $52.70 / $54.02	Professional	TC	$48.31	$52.70	$54.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.18 / $60.18 / $60.18	Facility	26	$60.18	$60.18	$60.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.01 / $83.48 / $114.42	Professional		$39.01	$83.48	$114.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.64 / $23.82 / $30.06	Professional	26	$12.64	$23.82	$30.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.68 / $59.67 / $84.36	Professional	TC	$27.68	$59.67	$84.36
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 $42.88 / $69.67 / $252.05	Professional		$42.88	$69.67	$252.05
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.62 / $21.61 / $92.47	Professional	26	$13.62	$21.61	$92.47
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $29.26 / $47.54 / $226.00	Professional	TC	$29.26	$47.54	$226.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $32.90 / $33.86 / $60.18	Facility	26	$32.90	$33.86	$60.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $79.81 / $103.83	Professional		$65.81	$79.81	$103.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $35.20 / $65.06	Professional		$10.74	$35.20	$65.06
United Facility/Professional Professional Modifier Low / Median / High Price $42.88 / $69.01 / $89.33	Professional		$42.88	$69.01	$89.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.62 / $21.76 / $27.85	Professional	26	$13.62	$21.76	$27.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.26 / $47.54 / $59.80	Professional	TC	$29.26	$47.54	$59.80