Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.34 / $53.54 / $90.25	Facility	26	$9.34	$53.54	$90.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $29.24 / $162.00	Professional		$25.76	$29.24	$162.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.48 / $9.60 / $29.71	Professional	26	$8.48	$9.60	$29.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.28 / $19.89 / $46.26	Professional	TC	$17.28	$19.89	$46.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.73 / $9.73 / $9.73	Professional	26	$9.73	$9.73	$9.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.52 / $58.28 / $59.74	Professional		$54.52	$58.28	$59.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.64 / $17.80 / $19.32	Professional	26	$16.64	$17.80	$19.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.35 / $40.09 / $41.50	Professional	TC	$36.35	$40.09	$41.50
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 $32.90 / $68.31 / $93.08	Professional		$32.90	$68.31	$93.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.10 / $21.15 / $26.18	Professional	26	$11.10	$21.15	$26.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.35 / $48.40 / $66.90	Professional	TC	$25.35	$48.40	$66.90
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 $28.84 / $58.59 / $197.88	Professional		$28.84	$58.59	$197.88
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.93 / $19.38 / $232.03	Professional	26	$11.93	$19.38	$232.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.23 / $39.21 / $142.29	Professional	TC	$22.23	$39.21	$142.29
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $33.72 / $34.72 / $52.50	Facility	26	$33.72	$34.72	$52.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.72 / $67.62 / $83.78	Professional		$53.72	$67.62	$83.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $29.99 / $52.84	Professional		$9.50	$29.99	$52.84
United Facility/Professional Professional Modifier Low / Median / High Price $28.93 / $57.90 / $73.70	Professional		$28.93	$57.90	$73.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.93 / $19.14 / $24.85	Professional	26	$11.93	$19.14	$24.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.13 / $39.21 / $49.33	Professional	TC	$24.13	$39.21	$49.33