Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $19.98 / $70.30	Professional		$19.98	$19.98	$70.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.19 / $6.35 / $17.69	Professional	26	$4.19	$6.35	$17.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.78 / $15.78 / $15.78	Professional	TC	$15.78	$15.78	$15.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.81 / $47.38	Professional		$14.73	$14.81	$47.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $3.04 / $9.73 / $14.81	Professional	26	$3.04	$9.73	$14.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.09 / $128.09 / $128.09	Facility		$128.09	$128.09	$128.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $47.49 / $49.99	Professional		$33.53	$47.49	$49.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.88 / $9.75 / $10.27	Professional	26	$6.88	$9.75	$10.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.64 / $37.72 / $39.71	Professional	TC	$26.64	$37.72	$39.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.67 / $61.76 / $76.75	Professional		$51.67	$61.76	$76.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.46 / $12.69 / $15.77	Professional	26	$11.46	$12.69	$15.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.88 / $49.07 / $60.98	Professional	TC	$39.88	$49.07	$60.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $63.40 / $162.36	Facility		$19.98	$63.40	$162.36
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 $27.30 / $42.83 / $263.07	Professional		$27.30	$42.83	$263.07
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $6.73 / $11.75 / $19.45	Professional	26	$6.73	$11.75	$19.45
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.57 / $24.18 / $226.21	Professional	TC	$20.57	$24.18	$226.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $51.67 / $61.76 / $149.74	Facility		$51.67	$61.76	$149.74
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $49.31 / $49.31 / $49.31	Facility	26	$49.31	$49.31	$49.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $46.01 / $58.23 / $76.75	Professional		$46.01	$58.23	$76.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $34.64 / $60.40	Professional		$7.39	$34.64	$60.40
United Facility/Professional Professional Modifier Low / Median / High Price $27.08 / $28.51 / $75.31	Professional		$27.08	$28.51	$75.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.04 / $6.76 / $13.52	Professional	26	$6.04	$6.76	$13.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.57 / $22.72 / $59.45	Professional	TC	$20.57	$22.72	$59.45