Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.68 / $7.71 / $24.53	Facility	26	$7.68	$7.71	$24.53
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.57 / $20.97 / $52.37	Facility	TC	$19.57	$20.97	$52.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.63 / $43.18 / $148.00	Professional		$19.63	$43.18	$148.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.50 / $12.35 / $36.76	Professional	26	$7.50	$12.35	$36.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.67 / $19.57 / $100.50	Professional	TC	$17.67	$19.57	$100.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.23 / $17.91 / $26.86	Professional	26	$8.23	$17.91	$26.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.32 / $53.79 / $55.14	Professional		$50.32	$53.79	$55.14
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 $36.15 / $38.65 / $39.63	Professional	TC	$36.15	$38.65	$39.63
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 Facility Modifier TC Low / Median / High Price $114.12 / $114.12 / $114.12	Facility	TC	$114.12	$114.12	$114.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.95 / $62.73 / $86.30	Professional		$31.95	$62.73	$86.30
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 $21.85 / $44.10 / $64.00	Professional	TC	$21.85	$44.10	$64.00
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 Facility Modifier TC Low / Median / High Price $98.42 / $98.42 / $98.42	Facility	TC	$98.42	$98.42	$98.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $52.59 / $187.12	Professional		$32.36	$52.59	$187.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.80 / $15.93 / $51.02	Professional	26	$9.80	$15.93	$51.02
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.56 / $36.65 / $136.11	Professional	TC	$22.56	$36.65	$136.11
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $29.00 / $44.64	Facility	26	$28.18	$29.00	$44.64
Midlands Facility/Professional Facility Modifier TC Low / Median / High Price $38.15 / $65.20 / $114.12	Facility	TC	$38.15	$65.20	$114.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $49.60 / $62.73 / $78.33	Professional		$49.60	$62.73	$78.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $22.20 / $49.50	Professional		$8.09	$22.20	$49.50
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $52.59 / $66.16	Professional		$32.36	$52.59	$66.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.80 / $15.74 / $20.04	Professional	26	$9.80	$15.74	$20.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.56 / $36.22 / $46.12	Professional	TC	$22.56	$36.22	$46.12