Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.03 / $28.23 / $76.09	Facility	26	$8.03	$28.23	$76.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $54.00 / $160.00	Professional		$30.52	$54.00	$160.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.99 / $18.57 / $37.00	Professional	26	$7.99	$18.57	$37.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.33 / $72.33 / $72.33	Professional	50	$72.33	$72.33	$72.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $29.17 / $143.00	Professional	TC	$22.26	$29.17	$143.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.40 / $31.40 / $71.26	Professional		$31.40	$31.40	$71.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.56 / $14.69 / $18.64	Professional	26	$8.56	$14.69	$18.64
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $57.92 / $57.92 / $57.92	Professional	TC	$57.92	$57.92	$57.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $73.31 / $75.15	Professional		$68.59	$73.31	$75.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.15 / $15.11 / $16.53	Professional	26	$14.15	$15.11	$16.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.45 / $58.20 / $59.65	Professional	TC	$54.45	$58.20	$59.65
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 $39.04 / $85.40 / $116.36	Professional		$39.04	$85.40	$116.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.78 / $18.36 / $23.27	Professional	26	$9.78	$18.36	$23.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.18 / $67.47 / $93.08	Professional	TC	$31.18	$67.47	$93.08
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 $41.72 / $69.87 / $260.95	Professional		$41.72	$69.87	$260.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $16.57 / $83.63	Professional	26	$10.19	$16.57	$83.63
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.31 / $53.29 / $207.72	Professional	TC	$30.31	$53.29	$207.72
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $31.09 / $31.99 / $44.64	Facility	26	$31.09	$31.99	$44.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $75.20 / $96.22	Professional		$48.00	$75.20	$96.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $36.15 / $70.19	Professional		$8.51	$36.15	$70.19
United Facility/Professional Professional Modifier Low / Median / High Price $39.34 / $69.04 / $87.89	Professional		$39.34	$69.04	$87.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $16.38 / $20.85	Professional	26	$10.19	$16.38	$20.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.79 / $52.66 / $67.04	Professional	TC	$32.79	$52.66	$67.04