Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $32.36 / $100.00	Facility	26	$20.42	$32.36	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $43.65 / $147.91	Professional		$30.20	$43.65	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $15.85 / $25.70	Professional	26	$8.91	$15.85	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $25.70 / $56.23	Professional	TC	$20.89	$25.70	$56.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $26.30 / $27.54	Professional		$25.70	$26.30	$27.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $16.98 / $22.39	Professional	26	$7.41	$16.98	$22.39
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $43.65 / $52.48	Professional	TC	$43.65	$43.65	$52.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $61.66 / $66.07	Professional		$57.54	$61.66	$66.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $19.05 / $19.95	Professional	26	$17.78	$19.05	$19.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $43.65 / $45.71	Professional	TC	$39.81	$43.65	$45.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $56.23 / $56.23	Facility	26	$56.23	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $66.07 / $102.33	Professional		$27.54	$66.07	$102.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $20.89 / $28.84	Professional	26	$9.77	$20.89	$28.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $45.71 / $74.13	Professional	TC	$19.05	$45.71	$74.13
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 $38.02 / $56.23 / $223.87	Professional		$38.02	$56.23	$223.87
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $19.50 / $93.33	Professional	26	$12.88	$19.50	$93.33
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $35.48 / $208.93	Professional	TC	$25.12	$35.48	$208.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $74.13 / $117.49	Professional		$66.07	$74.13	$117.49
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $22.39 / $33.88	Professional	26	$19.50	$22.39	$33.88
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $52.48 / $83.18	Professional	TC	$45.71	$52.48	$83.18
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $56.23 / $56.23	Facility	26	$56.23	$56.23	$56.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $67.61 / $117.49	Professional		$61.66	$67.61	$117.49
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $20.89 / $33.88	Professional	26	$18.20	$20.89	$33.88
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $45.71 / $83.18	Professional	TC	$43.65	$45.71	$83.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $25.70 / $58.88	Professional		$10.47	$25.70	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $51.29 / $77.62	Professional		$34.67	$51.29	$77.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $16.98 / $26.30	Professional	26	$11.22	$16.98	$26.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $33.88 / $52.48	Professional	TC	$23.44	$33.88	$52.48