Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.33 / $56.46 / $95.16	Facility	26	$10.33	$56.46	$95.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.35 / $53.61 / $203.17	Professional		$36.35	$53.61	$203.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $23.24 / $28.08	Professional	26	$10.02	$23.24	$28.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.63 / $45.57 / $159.78	Professional	TC	$27.63	$45.57	$159.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $19.76 / $25.63	Professional	26	$11.07	$19.76	$25.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.04 / $74.87 / $76.75	Professional		$70.04	$74.87	$76.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.03 / $20.34 / $21.37	Professional	26	$19.03	$20.34	$21.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.02 / $54.53 / $55.89	Professional	TC	$51.02	$54.53	$55.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.06 / $60.06 / $60.06	Facility	26	$60.06	$60.06	$60.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.02 / $86.95 / $118.29	Professional		$40.02	$86.95	$118.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.42 / $23.72 / $30.06	Professional	26	$12.42	$23.72	$30.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.61 / $64.04 / $88.24	Professional	TC	$34.61	$64.04	$88.24
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 $44.02 / $73.26 / $262.94	Professional		$44.02	$73.26	$262.94
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.19 / $21.43 / $117.24	Professional	26	$13.19	$21.43	$117.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.83 / $52.32 / $201.73	Professional	TC	$30.83	$52.32	$201.73
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $37.84 / $38.94 / $60.06	Facility	26	$37.84	$38.94	$60.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $75.87 / $86.81 / $108.37	Professional		$75.87	$86.81	$108.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $36.35 / $70.45	Professional		$10.80	$36.35	$70.45
United Facility/Professional Professional Modifier Low / Median / High Price $44.02 / $73.26 / $89.98	Professional		$44.02	$73.26	$89.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.19 / $21.18 / $27.48	Professional	26	$13.19	$21.18	$27.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.83 / $55.12 / $64.22	Professional	TC	$30.83	$55.12	$64.22