Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.71 / $25.28 / $70.25	Facility	26	$7.71	$25.28	$70.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $37.84 / $112.18	Professional		$15.91	$37.84	$112.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.68 / $17.80 / $39.60	Professional	26	$7.68	$17.80	$39.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.84 / $29.08 / $57.99	Professional	TC	$18.84	$29.08	$57.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.74 / $73.61 / $73.61	Professional		$24.74	$73.61	$73.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.05 / $14.33 / $26.86	Professional	26	$7.05	$14.33	$26.86
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $45.02 / $45.02 / $45.02	Professional	TC	$45.02	$45.02	$45.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.03 / $59.89 / $61.39	Professional		$56.03	$59.89	$61.39
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.15 / $15.11 / $15.90	Professional	26	$14.15	$15.11	$15.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.18 / $44.74 / $45.88	Professional	TC	$40.18	$44.74	$45.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.64 / $44.64 / $44.64	Facility	26	$44.64	$44.64	$44.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.66 / $68.09 / $95.02	Professional		$31.66	$68.09	$95.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $17.63 / $22.30	Professional	26	$9.41	$17.63	$22.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.63 / $50.48 / $72.72	Professional	TC	$22.63	$50.48	$72.72
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $53.20 / $100.00 / $100.00	Facility	26	$53.20	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $56.43 / $206.66	Professional		$34.72	$56.43	$206.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.81 / $15.93 / $79.26	Professional	26	$9.81	$15.93	$79.26
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.92 / $40.50 / $161.00	Professional	TC	$24.92	$40.50	$161.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $25.80 / $26.55 / $44.64	Facility	26	$25.80	$26.55	$44.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $63.40 / $83.56	Professional		$47.00	$63.40	$83.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $26.32 / $54.75	Professional		$8.09	$26.32	$54.75
United Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $55.76 / $70.98	Professional		$34.72	$55.76	$70.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.73 / $15.60 / $20.04	Professional	26	$9.73	$15.60	$20.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.92 / $40.02 / $50.95	Professional	TC	$24.92	$40.02	$50.95