Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $77.41 / $209.22	Facility	26	$22.91	$77.41	$209.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $50.00 / $232.00	Professional		$41.75	$50.00	$232.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.37 / $53.29 / $130.00	Professional	26	$21.37	$53.29	$130.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.57 / $20.39 / $96.00	Professional	TC	$19.57	$20.39	$96.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.74 / $83.01 / $83.05	Professional		$57.74	$83.01	$83.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.82 / $45.35 / $53.39	Professional	26	$43.82	$45.35	$53.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.56 / $83.76 / $85.84	Professional		$77.56	$83.76	$85.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.75 / $45.07 / $46.21	Professional	26	$41.75	$45.07	$46.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.79 / $38.65 / $39.63	Professional	TC	$35.79	$38.65	$39.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $133.08 / $133.08 / $133.08	Facility	26	$133.08	$133.08	$133.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.56 / $98.00 / $127.99	Professional		$40.56	$98.00	$127.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.24 / $52.84 / $66.90	Professional	26	$22.24	$52.84	$66.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.32 / $44.78 / $61.09	Professional	TC	$18.32	$44.78	$61.09
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $105.96 / $105.96 / $105.96	Facility	26	$105.96	$105.96	$105.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.34 / $86.31 / $133.13	Professional		$56.34	$86.31	$133.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $29.30 / $45.59 / $70.89	Professional	26	$29.30	$45.59	$70.89
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.36 / $38.94 / $367.63	Professional	TC	$24.36	$38.94	$367.63
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $76.34 / $78.58 / $133.08	Facility	26	$76.34	$78.58	$133.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $98.00 / $123.56	Professional		$84.85	$98.00	$123.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.58 / $39.65 / $81.80	Professional		$21.58	$39.65	$81.80
United Facility/Professional Professional Modifier Low / Median / High Price $53.11 / $86.31 / $107.60	Professional		$53.11	$86.31	$107.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.38 / $47.17 / $61.20	Professional	26	$29.38	$47.17	$61.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.73 / $39.08 / $49.45	Professional	TC	$23.73	$39.08	$49.45