Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.02 / $48.26 / $81.34	Facility	26	$9.02	$48.26	$81.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $65.34 / $825.75	Professional		$22.43	$65.34	$825.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $9.76 / $54.00	Professional	26	$9.02	$9.76	$54.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.39 / $30.45 / $70.37	Professional	TC	$13.39	$30.45	$70.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $25.74 / $55.99	Professional		$25.74	$25.74	$55.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $12.96 / $22.42	Professional	26	$6.98	$12.96	$22.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.10 / $45.61 / $47.22	Professional		$43.10	$45.61	$47.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.64 / $17.80 / $18.69	Professional	26	$16.64	$17.80	$18.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.92 / $27.71 / $28.98	Professional	TC	$25.92	$27.71	$28.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.50 / $52.50 / $52.50	Facility	26	$52.50	$52.50	$52.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $54.80 / $87.19	Professional		$23.75	$54.80	$87.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.91 / $20.74 / $26.18	Professional	26	$10.91	$20.74	$26.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.46 / $34.86 / $55.38	Professional	TC	$14.46	$34.86	$55.38
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $132.00 / $132.00 / $132.00	Facility	26	$132.00	$132.00	$132.00
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $53.18 / $53.18 / $53.18	Facility	53	$53.18	$53.18	$53.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.98 / $48.02 / $761.56	Professional		$27.98	$48.02	$761.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.85 / $18.96 / $132.00	Professional	26	$11.85	$18.96	$132.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $15.48 / $28.41 / $705.08	Professional	TC	$15.48	$28.41	$705.08
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $31.98 / $32.90 / $52.50	Facility	26	$31.98	$32.90	$52.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.87 / $54.80 / $144.00	Professional		$44.87	$54.80	$144.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $18.28 / $43.18	Professional		$9.48	$18.28	$43.18
United Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $47.34 / $82.98	Professional		$25.82	$47.34	$82.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.53 / $18.73 / $23.37	Professional	26	$11.53	$18.73	$23.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.48 / $27.51 / $71.13	Professional	TC	$15.48	$27.51	$71.13