Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $14.13 / $269.15	Facility		$5.62	$14.13	$269.15
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $28.84 / $87.10	Facility	26	$20.42	$28.84	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.14 / $40.74	Professional		$9.55	$15.14	$40.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.32 / $32.36	Professional	26	$6.03	$8.32	$32.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.48 / $29.51 / $29.51	Professional	50	$11.48	$29.51	$29.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.29 / $3.89 / $9.12	Professional	TC	$2.29	$3.89	$9.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.71 / $26.92	Professional		$8.51	$8.71	$26.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $8.51 / $15.14	Professional	26	$8.51	$8.51	$15.14
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.02 / $3.02	Professional	TC	$3.02	$3.02	$3.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $83.18 / $186.21	Facility		$35.48	$83.18	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $20.42 / $21.88	Professional		$19.05	$20.42	$21.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $14.13 / $15.14	Professional	26	$13.49	$14.13	$15.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $5.89 / $6.31 / $6.61	Professional	TC	$5.89	$6.31	$6.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $42.66 / $42.66	Facility	26	$42.66	$42.66	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $21.38 / $31.62	Professional		$9.12	$21.38	$31.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $15.85 / $21.88	Professional	26	$6.17	$15.85	$21.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.69 / $6.46 / $10.00	Professional	TC	$2.69	$6.46	$10.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $19.05 / $109.65	Facility		$10.00	$19.05	$109.65
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 $12.30 / $18.62 / $1,412.54	Professional		$12.30	$18.62	$1,412.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $12.59 / $1,288.25	Professional	26	$9.33	$12.59	$1,288.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $3.72 / $5.75 / $977.24	Professional	TC	$3.72	$5.75	$977.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $23.99 / $38.90	Professional		$21.38	$23.99	$38.90
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $16.60 / $26.30	Professional	26	$14.79	$16.60	$26.30
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $6.46 / $7.76 / $12.59	Professional	TC	$6.46	$7.76	$12.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $42.66 / $42.66	Facility	26	$42.66	$42.66	$42.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.89 / $26.30	Professional		$12.88	$20.89	$26.30
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $15.85 / $18.20	Professional	26	$10.96	$15.85	$18.20
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $2.00 / $6.46 / $12.59	Professional	TC	$2.00	$6.46	$12.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $29.51 / $34.67	Professional		$21.38	$29.51	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $25.12 / $63.10	Facility		$2.75	$25.12	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $17.78 / $27.54	Professional		$13.49	$17.78	$27.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $12.59 / $19.50	Professional	26	$9.33	$12.59	$19.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.55 / $5.37 / $8.51	Professional	TC	$3.55	$5.37	$8.51