Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.78 / $48.53 / $131.68	Facility	26	$14.78	$48.53	$131.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.64 / $60.71 / $267.00	Professional		$43.64	$60.71	$267.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.74 / $33.19 / $70.45	Professional	26	$14.74	$33.19	$70.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.65 / $36.81 / $69.02	Professional	TC	$30.65	$36.81	$69.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.74 / $21.17 / $29.21	Professional	26	$11.74	$21.17	$29.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.18 / $92.12 / $94.42	Professional		$86.18	$92.12	$94.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.59 / $28.42 / $30.51	Professional	26	$26.59	$28.42	$30.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.39 / $63.70 / $65.29	Professional	TC	$58.39	$63.70	$65.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.88 / $83.88 / $83.88	Facility	26	$83.88	$83.88	$83.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.27 / $106.74 / $146.41	Professional		$49.27	$106.74	$146.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.05 / $33.65 / $43.63	Professional	26	$18.05	$33.65	$43.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $73.13 / $102.78	Professional	TC	$33.11	$73.13	$102.78
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 $54.25 / $88.16 / $321.19	Professional		$54.25	$88.16	$321.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.71 / $30.40 / $128.79	Professional	26	$18.71	$30.40	$128.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $35.54 / $57.76 / $254.00	Professional	TC	$35.54	$57.76	$254.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $48.01 / $49.41 / $83.88	Facility	26	$48.01	$49.41	$83.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $99.14 / $124.91	Professional		$77.00	$99.14	$124.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $36.94 / $91.31	Professional		$16.73	$36.94	$91.31
United Facility/Professional Professional Modifier Low / Median / High Price $54.25 / $88.16 / $110.90	Professional		$54.25	$88.16	$110.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.71 / $30.04 / $38.24	Professional	26	$18.71	$30.04	$38.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.10 / $49.26 / $72.66	Professional	TC	$35.10	$49.26	$72.66