Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.03 / $26.67 / $72.20	Facility	26	$8.03	$26.67	$72.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $31.96 / $176.00	Professional		$28.58	$31.96	$176.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $10.88 / $20.50	Professional	26	$7.33	$10.88	$20.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.46 / $22.99 / $61.29	Professional	TC	$19.46	$22.99	$61.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.65 / $14.19 / $15.88	Professional	26	$8.65	$14.19	$15.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $61.18 / $62.71	Professional		$57.24	$61.18	$62.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.21 / $15.18 / $15.96	Professional	26	$14.21	$15.18	$15.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.28 / $45.97 / $47.13	Professional	TC	$41.28	$45.97	$47.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.82 / $44.82 / $44.82	Facility	26	$44.82	$44.82	$44.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $69.59 / $97.93	Professional		$32.40	$69.59	$97.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $17.80 / $23.27	Professional	26	$9.77	$17.80	$23.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.18 / $51.90 / $74.66	Professional	TC	$24.18	$51.90	$74.66
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 $35.56 / $57.78 / $210.99	Professional		$35.56	$57.78	$210.99
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $16.35 / $82.56	Professional	26	$10.24	$16.35	$82.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.32 / $41.15 / $159.97	Professional	TC	$25.32	$41.15	$159.97
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $26.90 / $27.69 / $44.82	Facility	26	$26.90	$27.69	$44.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $64.75 / $85.67	Professional		$49.00	$64.75	$85.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $26.32 / $56.64	Professional		$8.50	$26.32	$56.64
United Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $57.10 / $72.68	Professional		$35.56	$57.10	$72.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $16.19 / $20.92	Professional	26	$10.24	$16.19	$20.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.32 / $42.98 / $51.76	Professional	TC	$25.32	$42.98	$51.76