Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.44 / $33.11 / $104.71	Facility	26	$23.44	$33.11	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $52.48 / $208.93	Professional		$34.67	$52.48	$208.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $17.38 / $27.54	Professional	26	$9.77	$17.38	$27.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $41.69 / $72.44	Professional	TC	$25.12	$41.69	$72.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $51.29 / $97.72	Professional		$30.20	$51.29	$97.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $15.49 / $25.70	Professional	26	$10.96	$15.49	$25.70
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $21.88 / $72.44	Professional	TC	$21.88	$21.88	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $74.13 / $77.62	Professional		$70.79	$74.13	$77.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $19.95 / $21.38	Professional	26	$19.05	$19.95	$21.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $53.70 / $56.23	Professional	TC	$51.29	$53.70	$56.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $60.26 / $60.26	Facility	26	$60.26	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $81.28 / $120.23	Professional		$32.36	$81.28	$120.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $20.89 / $30.90	Professional	26	$9.77	$20.89	$30.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $61.66 / $91.20	Professional	TC	$26.30	$61.66	$91.20
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 $43.65 / $67.61 / $263.03	Professional		$43.65	$67.61	$263.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $20.42 / $117.49	Professional	26	$13.18	$20.42	$117.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $42.66 / $199.53	Professional	TC	$30.90	$42.66	$199.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $87.10 / $138.04	Professional		$77.62	$87.10	$138.04
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $23.99 / $36.31	Professional	26	$20.89	$23.99	$36.31
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $64.57 / $102.33	Professional	TC	$56.23	$64.57	$102.33
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $60.26 / $60.26	Facility	26	$60.26	$60.26	$60.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $138.04	Professional		$81.28	$81.28	$138.04
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $20.89 / $36.31	Professional	26	$18.20	$20.89	$36.31
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $63.10 / $102.33	Professional	TC	$61.66	$63.10	$102.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $32.36 / $70.79	Professional		$10.96	$32.36	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $95.50	Professional		$40.74	$58.88	$95.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $17.38 / $27.54	Professional	26	$11.48	$17.38	$27.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $40.74 / $67.61	Professional	TC	$28.18	$40.74	$67.61