Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $22.91 / $81.28	Facility	26	$18.20	$22.91	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $57.54 / $169.82	Professional		$31.62	$57.54	$169.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $18.62 / $28.84	Professional	26	$8.71	$18.62	$28.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $32.36 / $125.89	Professional	TC	$23.44	$32.36	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $89.13	Professional		$29.51	$29.51	$89.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $14.45 / $19.95	Professional	26	$7.94	$14.45	$19.95
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $30.20 / $53.70	Professional	TC	$23.99	$30.20	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $70.79 / $74.13	Professional		$64.57	$70.79	$74.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $19.95 / $20.89	Professional	26	$18.20	$19.95	$20.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $51.29 / $53.70	Professional	TC	$46.77	$51.29	$53.70
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 $29.51 / $74.13 / $117.49	Professional		$29.51	$74.13	$117.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $20.89 / $30.90	Professional	26	$8.71	$20.89	$30.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $52.48 / $87.10	Professional	TC	$21.88	$52.48	$87.10
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 $38.02 / $57.54 / $251.19	Professional		$38.02	$57.54	$251.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $18.20 / $97.72	Professional	26	$11.48	$18.20	$97.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $39.81 / $181.97	Professional	TC	$28.18	$39.81	$181.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $83.18 / $134.90	Professional		$74.13	$83.18	$134.90
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $22.91 / $36.31	Professional	26	$20.89	$22.91	$36.31
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $60.26 / $97.72	Professional	TC	$53.70	$60.26	$97.72
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 $58.88 / $61.66 / $134.90	Professional		$58.88	$61.66	$134.90
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $19.05 / $36.31	Professional	26	$15.85	$19.05	$36.31
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $42.66 / $97.72	Professional	TC	$41.69	$42.66	$97.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $29.51 / $66.07	Professional		$10.72	$29.51	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $53.70 / $87.10	Professional		$36.31	$53.70	$87.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $16.98 / $26.30	Professional	26	$11.22	$16.98	$26.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $36.31 / $60.26	Professional	TC	$25.12	$36.31	$60.26