Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.68 / $52.18 / $87.96	Facility	26	$8.68	$52.18	$87.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $39.69 / $180.33	Professional		$26.41	$39.69	$180.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.67 / $13.95 / $52.46	Professional	26	$8.67	$13.95	$52.46
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.99 / $13.35 / $90.16	Professional	52	$12.99	$13.35	$90.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.04 / $28.39 / $126.46	Professional	TC	$18.04	$28.39	$126.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.73 / $20.20 / $20.20	Professional	26	$8.73	$20.20	$20.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.86 / $53.29 / $55.27	Professional		$49.86	$53.29	$55.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.96 / $17.05 / $17.94	Professional	26	$15.96	$17.05	$17.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.89 / $36.21 / $37.34	Professional	TC	$33.89	$36.21	$37.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.40 / $50.40 / $50.40	Facility	26	$50.40	$50.40	$50.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $61.91 / $83.39	Professional		$32.34	$61.91	$83.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.54 / $19.89 / $25.21	Professional	26	$10.54	$19.89	$25.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.20 / $42.70 / $58.18	Professional	TC	$23.20	$42.70	$58.18
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 $34.79 / $56.55 / $216.00	Professional		$34.79	$56.55	$216.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.06 / $18.21 / $79.26	Professional	26	$11.06	$18.21	$79.26
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.74 / $38.22 / $205.00	Professional	TC	$23.74	$38.22	$205.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $35.99 / $37.04 / $50.40	Facility	26	$35.99	$37.04	$50.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.99 / $67.09 / $85.07	Professional		$53.99	$67.09	$85.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $25.90 / $51.25	Professional		$9.44	$25.90	$51.25
United Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $56.07 / $71.14	Professional		$34.79	$56.07	$71.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.06 / $17.77 / $23.05	Professional	26	$11.06	$17.77	$23.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.74 / $38.11 / $48.52	Professional	TC	$23.74	$38.11	$48.52