Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.03 / $23.98 / $64.48	Facility	26	$7.03	$23.98	$64.48
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $13.86 / $78.11 / $203.79	Facility	TC	$13.86	$78.11	$203.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $21.21 / $49.76	Professional		$17.03	$21.21	$49.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.59 / $15.94 / $41.00	Professional	26	$6.59	$15.94	$41.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $40.24 / $40.24 / $40.24	Professional	50	$40.24	$40.24	$40.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.09 / $14.78 / $39.56	Professional	TC	$13.09	$14.78	$39.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.58 / $38.58 / $38.58	Professional		$38.58	$38.58	$38.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.54 / $13.12 / $16.39	Professional	26	$7.54	$13.12	$16.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.14 / $39.70 / $41.64	Professional		$37.14	$39.70	$41.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.97 / $13.85 / $14.55	Professional	26	$12.97	$13.85	$14.55
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.18 / $25.84 / $26.59	Professional	TC	$24.18	$25.84	$26.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.86 / $40.86 / $40.86	Facility	26	$40.86	$40.86	$40.86
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $76.26 / $76.26 / $76.26	Facility	TC	$76.26	$76.26	$76.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.77 / $46.27 / $62.06	Professional		$21.77	$46.27	$62.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.65 / $16.14 / $20.36	Professional	26	$8.65	$16.14	$20.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.73 / $30.60 / $41.69	Professional	TC	$16.73	$30.60	$41.69
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 Facility Modifier TC Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	TC	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $40.08 / $172.00	Professional		$23.66	$40.08	$172.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.98 / $14.59 / $72.64	Professional	26	$8.98	$14.59	$72.64
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $14.68 / $26.63 / $148.00	Professional	TC	$14.68	$26.63	$148.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $23.07 / $23.74 / $40.86	Facility	26	$23.07	$23.74	$40.86
Midlands Facility/Professional Facility Modifier TC Low / Median / High Price $25.12 / $54.76 / $76.26	Facility	TC	$25.12	$54.76	$76.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $46.27 / $57.37	Professional		$40.21	$46.27	$57.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $15.29 / $36.15	Professional		$7.53	$15.29	$36.15
United Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $40.08 / $48.37	Professional		$23.66	$40.08	$48.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.98 / $14.26 / $18.35	Professional	26	$8.98	$14.26	$18.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.68 / $23.87 / $30.60	Professional	TC	$14.68	$23.87	$30.60