Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.92 / $12.00 / $38.68	Facility	26	$11.92	$12.00	$38.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.25 / $79.31 / $218.00	Professional		$37.25	$79.31	$218.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.00 / $24.96 / $34.22	Professional	26	$12.00	$24.96	$34.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.26 / $27.94 / $152.00	Professional	TC	$23.26	$27.94	$152.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $74.05 / $74.05	Professional		$32.29	$74.05	$74.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.85 / $12.85 / $22.02	Professional	26	$12.85	$12.85	$22.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.68 / $78.76 / $80.73	Professional		$73.68	$78.76	$80.73
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.10 / $23.62 / $24.84	Professional	26	$22.10	$23.62	$24.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.59 / $55.14 / $56.52	Professional	TC	$51.59	$55.14	$56.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.72 / $69.72 / $69.72	Facility	26	$69.72	$69.72	$69.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.31 / $90.78 / $125.08	Professional		$42.31	$90.78	$125.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.54 / $27.55 / $34.90	Professional	26	$14.54	$27.55	$34.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.23 / $63.24 / $90.18	Professional	TC	$29.23	$63.24	$90.18
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $70.00 / $70.00 / $70.00	Facility	26	$70.00	$70.00	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.54 / $75.63 / $273.64	Professional		$46.54	$75.63	$273.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $25.20 / $78.91	Professional	26	$15.71	$25.20	$78.91
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $29.86 / $50.10 / $194.73	Professional	TC	$29.86	$50.10	$194.73
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $51.90 / $53.41 / $69.72	Facility	26	$51.90	$53.41	$69.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.41 / $89.78 / $112.02	Professional		$74.41	$89.78	$112.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $38.53 / $74.31	Professional		$13.08	$38.53	$74.31
United Facility/Professional Professional Modifier Low / Median / High Price $46.54 / $75.63 / $96.95	Professional		$46.54	$75.63	$96.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $25.22 / $32.11	Professional	26	$15.71	$25.22	$32.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.56 / $49.50 / $63.02	Professional	TC	$29.56	$49.50	$63.02