Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.46 / $78.12 / $131.68	Facility	26	$14.46	$78.12	$131.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $61.46 / $82.74	Professional		$38.65	$61.46	$82.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $15.11 / $40.11	Professional	26	$13.58	$15.11	$40.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.10 / $24.22 / $141.12	Professional	TC	$24.10	$24.22	$141.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.52 / $26.93 / $28.72	Professional	26	$26.52	$26.93	$28.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $76.23 / $78.15	Professional		$71.31	$76.23	$78.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.59 / $28.42 / $29.87	Professional	26	$26.59	$28.42	$29.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.32 / $47.82 / $49.02	Professional	TC	$44.32	$47.82	$49.02
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 $41.18 / $87.71 / $120.23	Professional		$41.18	$87.71	$120.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.67 / $32.94 / $42.66	Professional	26	$17.67	$32.94	$42.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.35 / $56.21 / $83.00	Professional	TC	$25.35	$56.21	$83.00
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 $45.19 / $81.94 / $390.88	Professional		$45.19	$81.94	$390.88
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.71 / $30.40 / $103.00	Professional	26	$18.71	$30.40	$103.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.48 / $51.35 / $301.75	Professional	TC	$26.48	$51.35	$301.75
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 $72.80 / $87.71 / $119.00	Professional		$72.80	$87.71	$119.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $29.19 / $75.56	Professional		$16.73	$29.19	$75.56
United Facility/Professional Professional Modifier Low / Median / High Price $45.19 / $80.15 / $94.15	Professional		$45.19	$80.15	$94.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.71 / $29.62 / $38.24	Professional	26	$18.71	$29.62	$38.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.48 / $43.04 / $66.06	Professional	TC	$26.48	$43.04	$66.06