Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.35 / $53.54 / $90.25	Facility	26	$11.35	$53.54	$90.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $41.45 / $248.68	Professional		$40.39	$41.45	$248.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.98 / $23.12 / $58.00	Professional	26	$9.98	$23.12	$58.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.10 / $30.10 / $178.71	Professional	TC	$30.10	$30.10	$178.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $12.20 / $21.70	Professional	26	$8.71	$12.20	$21.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $82.37 / $84.43	Professional		$77.06	$82.37	$84.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $22.34 / $22.89	Professional	26	$20.89	$22.34	$22.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.17 / $60.03 / $61.53	Professional	TC	$56.17	$60.03	$61.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.94 / $65.94 / $65.94	Facility	26	$65.94	$65.94	$65.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.68 / $94.95 / $129.93	Professional		$43.68	$94.95	$129.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.43 / $25.43 / $32.97	Professional	26	$13.43	$25.43	$32.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.57 / $68.88 / $96.96	Professional	TC	$31.57	$68.88	$96.96
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $103.00 / $103.00 / $103.00	Facility	26	$103.00	$103.00	$103.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.07 / $78.12 / $286.68	Professional		$48.07	$78.12	$286.68
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.89 / $23.54 / $107.32	Professional	26	$13.89	$23.54	$107.32
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $33.59 / $55.98 / $267.00	Professional	TC	$33.59	$55.98	$267.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $33.53 / $34.50 / $65.94	Facility	26	$33.53	$34.50	$65.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $88.22 / $118.39	Professional		$74.56	$88.22	$118.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $39.97 / $73.88	Professional		$11.75	$39.97	$73.88
United Facility/Professional Professional Modifier Low / Median / High Price $48.07 / $78.12 / $98.27	Professional		$48.07	$78.12	$98.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.48 / $22.64 / $29.61	Professional	26	$14.48	$22.64	$29.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.59 / $55.98 / $69.97	Professional	TC	$33.59	$55.98	$69.97