Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.68 / $35.38 / $95.16	Facility	26	$9.68	$35.38	$95.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.74 / $177.86	Professional		$32.36	$47.74	$177.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.52 / $22.24 / $26.46	Professional	26	$9.52	$22.24	$26.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.68 / $25.92 / $59.67	Professional	TC	$22.68	$25.92	$59.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.58 / $75.58 / $75.58	Professional		$75.58	$75.58	$75.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.38 / $18.52 / $24.02	Professional	26	$10.38	$18.52	$24.02
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $43.50 / $43.50 / $43.50	Professional	TC	$43.50	$43.50	$43.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.72 / $63.84 / $65.43	Professional		$59.72	$63.84	$65.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.82 / $19.05 / $20.03	Professional	26	$17.82	$19.05	$20.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.79 / $44.75 / $45.88	Professional	TC	$40.79	$44.75	$45.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.28 / $56.28 / $56.28	Facility	26	$56.28	$56.28	$56.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.70 / $74.12 / $100.84	Professional		$34.70	$74.12	$100.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.85 / $22.22 / $28.12	Professional	26	$11.85	$22.22	$28.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.57 / $51.90 / $72.72	Professional	TC	$24.57	$51.90	$72.72
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 $38.08 / $62.31 / $223.92	Professional		$38.08	$62.31	$223.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.76 / $20.52 / $92.47	Professional	26	$12.76	$20.52	$92.47
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.32 / $41.15 / $211.00	Professional	TC	$25.32	$41.15	$211.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $35.68 / $36.72 / $56.28	Facility	26	$35.68	$36.72	$56.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $58.44 / $74.01 / $91.98	Professional		$58.44	$74.01	$91.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $31.01 / $58.98	Professional		$10.14	$31.01	$58.98
United Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $62.31 / $77.83	Professional		$38.08	$62.31	$77.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.76 / $20.28 / $26.08	Professional	26	$12.76	$20.28	$26.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.32 / $40.72 / $52.75	Professional	TC	$25.32	$40.72	$52.75