Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.66 / $33.72 / $91.01	Facility	26	$11.66	$33.72	$91.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $43.57 / $212.59	Professional		$37.92	$43.57	$212.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.51 / $23.15 / $26.23	Professional	26	$10.51	$23.15	$26.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.94 / $31.92 / $72.12	Professional	TC	$27.94	$31.92	$72.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.49 / $21.74 / $27.17	Professional	26	$12.49	$21.74	$27.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $78.09 / $80.04	Professional		$73.06	$78.09	$80.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.48 / $22.96 / $23.53	Professional	26	$21.48	$22.96	$23.53
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 $67.73 / $67.73 / $67.73	Facility	26	$67.73	$67.73	$67.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.21 / $89.67 / $122.17	Professional		$41.21	$89.67	$122.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.79 / $25.61 / $33.94	Professional	26	$13.79	$25.61	$33.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.57 / $63.22 / $88.24	Professional	TC	$31.57	$63.22	$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 $45.31 / $73.63 / $271.52	Professional		$45.31	$73.63	$271.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.15 / $24.18 / $97.41	Professional	26	$14.15	$24.18	$97.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.43 / $50.49 / $210.00	Professional	TC	$30.43	$50.49	$210.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $35.61 / $36.65 / $67.73	Facility	26	$35.61	$36.65	$67.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $88.14 / $111.11	Professional		$64.00	$88.14	$111.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $33.33 / $73.17	Professional		$12.74	$33.33	$73.17
United Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $73.63 / $94.40	Professional		$45.31	$73.63	$94.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.88 / $24.18 / $31.00	Professional	26	$14.88	$24.18	$31.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.43 / $49.67 / $62.21	Professional	TC	$30.43	$49.67	$62.21