Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.64 / $12.84 / $41.72	Facility	26	$12.64	$12.84	$41.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $55.43 / $132.94	Professional		$29.38	$55.43	$132.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.64 / $16.43 / $33.81	Professional	26	$12.64	$16.43	$33.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.14 / $42.79 / $205.00	Professional	TC	$34.14	$42.79	$205.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.55 / $18.29 / $29.70	Professional	26	$17.55	$18.29	$29.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.44 / $110.56 / $113.31	Professional		$103.44	$110.56	$113.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.28 / $24.89 / $26.16	Professional	26	$23.28	$24.89	$26.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $78.31 / $85.57 / $87.81	Professional	TC	$78.31	$85.57	$87.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.44 / $73.44 / $73.44	Facility	26	$73.44	$73.44	$73.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.11 / $125.57 / $178.41	Professional		$60.11	$125.57	$178.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.80 / $29.04 / $37.82	Professional	26	$15.80	$29.04	$37.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.23 / $96.54 / $140.60	Professional	TC	$43.23	$96.54	$140.60
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $70.00 / $70.00 / $70.00	Facility	26	$70.00	$70.00	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.64 / $101.29 / $379.94	Professional		$61.64	$101.29	$379.94
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.14 / $26.23 / $83.23	Professional	26	$16.14	$26.23	$83.23
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $43.88 / $75.06 / $296.70	Professional	TC	$43.88	$75.06	$296.70
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $58.85 / $60.57 / $73.44	Facility	26	$58.85	$60.57	$73.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $98.67 / $122.12 / $155.74	Professional		$98.67	$122.12	$155.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $54.07 / $104.85	Professional		$13.74	$54.07	$104.85
United Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $101.29 / $127.41	Professional		$62.33	$101.29	$127.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.14 / $25.22 / $32.99	Professional	26	$16.14	$25.22	$32.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.19 / $82.87 / $94.42	Professional	TC	$46.19	$82.87	$94.42