Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.51 / $44.03 / $118.72	Facility	26	$12.51	$44.03	$118.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $41.88 / $225.00	Professional		$38.74	$41.88	$225.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.40 / $30.26 / $61.10	Professional	26	$12.40	$30.26	$61.10
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $20.32 / $20.94 / $126.95	Professional	52	$20.32	$20.94	$126.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $29.48 / $81.11	Professional	TC	$22.26	$29.48	$81.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.62 / $13.29 / $13.29	Professional	26	$12.62	$13.29	$13.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.29 / $83.23 / $85.31	Professional		$76.29	$83.23	$85.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.85 / $24.42 / $25.67	Professional	26	$22.85	$24.42	$25.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.78 / $58.79 / $60.27	Professional	TC	$52.78	$58.79	$60.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.12 / $72.12 / $72.12	Facility	26	$72.12	$72.12	$72.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.62 / $95.92 / $131.87	Professional		$42.62	$95.92	$131.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.43 / $28.45 / $36.85	Professional	26	$15.43	$28.45	$36.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.89 / $65.37 / $95.02	Professional	TC	$29.89	$65.37	$95.02
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $80.00 / $80.00 / $80.00	Facility	26	$80.00	$80.00	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.16 / $79.66 / $290.45	Professional		$45.16	$79.66	$290.45
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.83 / $25.72 / $82.68	Professional	26	$15.83	$25.72	$82.68
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.72 / $53.94 / $207.72	Professional	TC	$30.72	$53.94	$207.72
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $46.32 / $47.67 / $72.12	Facility	26	$46.32	$47.67	$72.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $68.43 / $84.34 / $114.23	Professional		$68.43	$84.34	$114.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $35.86 / $82.50	Professional		$14.39	$35.86	$82.50
United Facility/Professional Professional Modifier Low / Median / High Price $49.02 / $79.66 / $100.21	Professional		$49.02	$79.66	$100.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.83 / $25.42 / $32.36	Professional	26	$15.83	$25.42	$32.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.19 / $56.33 / $67.84	Professional	TC	$33.19	$56.33	$67.84