Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $18.44	Professional		$18.44	$18.44	$18.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.54 / $13.54 / $109.20	Professional	26	$13.54	$13.54	$109.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $4.90 / $4.90 / $4.90	Professional	TC	$4.90	$4.90	$4.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $32.38 / $32.38 / $32.38	Professional	26	$32.38	$32.38	$32.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $43.34 / $45.61	Professional		$30.60	$43.34	$45.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.21 / $31.44 / $33.10	Professional	26	$22.21	$31.44	$33.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.39 / $11.88 / $12.51	Professional	TC	$8.39	$11.88	$12.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $52.62 / $67.33	Professional		$41.00	$52.62	$67.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.00 / $40.60 / $48.05	Professional	26	$30.00	$40.60	$48.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.00 / $15.14 / $19.23	Professional	TC	$11.00	$15.14	$19.23
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $95.38 / $95.38 / $95.38	Facility	26	$95.38	$95.38	$95.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $28.71 / $180.45	Professional		$27.52	$28.71	$180.45
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.51 / $22.18 / $134.87	Professional	26	$20.51	$22.18	$134.87
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $5.86 / $7.22 / $45.58	Professional	TC	$5.86	$7.22	$45.58
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $54.76 / $54.76 / $54.76	Facility	26	$54.76	$54.76	$54.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.96 / $52.62 / $70.04	Professional		$39.96	$52.62	$70.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $27.60 / $50.76	Professional		$8.92	$27.60	$50.76
United Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $28.71 / $57.42	Professional		$26.54	$28.71	$57.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.48 / $22.15 / $44.30	Professional	26	$19.48	$22.15	$44.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $5.86 / $6.92 / $13.00	Professional	TC	$5.86	$6.92	$13.00