Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.39 / $24.54 / $66.44	Facility	26	$7.39	$24.54	$66.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $34.63 / $115.10	Professional		$17.27	$34.63	$115.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $17.87 / $37.50	Professional	26	$7.33	$17.87	$37.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.54 / $38.54 / $38.54	Professional	50	$38.54	$38.54	$38.54
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.32 / $13.32 / $29.98	Professional	52	$13.32	$13.32	$29.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.21 / $38.35 / $51.04	Professional	TC	$18.21	$38.35	$51.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $22.32 / $65.95	Professional		$20.20	$22.32	$65.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.68 / $13.75 / $17.18	Professional	26	$5.68	$13.75	$17.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.18 / $52.57 / $53.89	Professional		$49.18	$52.57	$53.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $14.52 / $15.26	Professional	26	$13.58	$14.52	$15.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.60 / $38.06 / $39.00	Professional	TC	$35.60	$38.06	$39.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.84 / $42.84 / $42.84	Facility	26	$42.84	$42.84	$42.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $60.48 / $82.42	Professional		$28.50	$60.48	$82.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $16.93 / $21.33	Professional	26	$9.02	$16.93	$21.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.68 / $44.10 / $61.09	Professional	TC	$20.68	$44.10	$61.09
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 $31.19 / $50.68 / $184.96	Professional		$31.19	$50.68	$184.96
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $15.29 / $67.13	Professional	26	$9.41	$15.29	$67.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.78 / $35.39 / $149.00	Professional	TC	$21.78	$35.39	$149.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $24.84 / $25.57 / $42.84	Facility	26	$24.84	$25.57	$42.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $58.30 / $72.06	Professional		$45.00	$58.30	$72.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $21.52 / $46.80	Professional		$7.75	$21.52	$46.80
United Facility/Professional Professional Modifier Low / Median / High Price $29.41 / $50.09 / $63.75	Professional		$29.41	$50.09	$63.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $14.93 / $19.23	Professional	26	$9.41	$14.93	$19.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.78 / $34.97 / $44.52	Professional	TC	$21.78	$34.97	$44.52