Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.78 / $23.78 / $23.78	Facility	26	$23.78	$23.78	$23.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $29.73 / $40.11	Professional		$22.31	$29.73	$40.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.71 / $24.96 / $34.53	Professional	26	$23.71	$24.96	$34.53
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.79 / $14.87 / $20.05	Professional	52	$13.79	$14.87	$20.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.70 / $4.25 / $5.58	Professional	TC	$3.70	$4.25	$5.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.48 / $44.11 / $62.46	Professional		$27.48	$44.11	$62.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.68 / $38.02 / $53.82	Professional	26	$23.68	$38.02	$53.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.79 / $6.11 / $8.64	Professional	TC	$3.79	$6.11	$8.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $57.36 / $73.77	Professional		$23.14	$57.36	$73.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.96 / $49.40 / $65.64	Professional	26	$19.96	$49.40	$65.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.18 / $7.62 / $9.60	Professional	TC	$2.18	$7.62	$9.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $53.69 / $303.81	Professional		$30.29	$53.69	$303.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.08 / $44.95 / $156.38	Professional	26	$22.08	$44.95	$156.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $4.32 / $9.10 / $211.93	Professional	TC	$4.32	$9.10	$211.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.97 / $57.36 / $96.30	Professional		$41.97	$57.36	$96.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $30.89 / $59.40	Professional		$4.12	$30.89	$59.40
United Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $54.49 / $71.44	Professional		$30.29	$54.49	$71.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.08 / $44.95 / $61.25	Professional	26	$22.08	$44.95	$61.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.24 / $7.66 / $22.86	Professional	TC	$4.24	$7.66	$22.86