Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.82 / $18.64 / $30.15	Facility	26	$9.82	$18.64	$30.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.74 / $33.97 / $139.18	Professional		$24.74	$33.97	$139.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.66 / $9.11 / $38.60	Professional	26	$6.66	$9.11	$38.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.66 / $22.57 / $33.40	Professional	TC	$17.66	$22.57	$33.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.33 / $63.89 / $100.73	Professional		$37.33	$63.89	$100.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.71 / $17.45 / $27.23	Professional	26	$9.71	$17.45	$27.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.60 / $47.11 / $73.51	Professional	TC	$26.60	$47.11	$73.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $40.06 / $174.65	Professional		$22.13	$40.06	$174.65
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $6.57 / $10.79 / $22.34	Professional	26	$6.57	$10.79	$22.34
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $15.03 / $28.31 / $191.35	Professional	TC	$15.03	$28.31	$191.35
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $103.69 / $103.69 / $103.69	Facility	26	$103.69	$103.69	$103.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $58.58 / $644.00	Professional		$27.68	$58.58	$644.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.92 / $13.19 / $228.88	Professional	26	$7.92	$13.19	$228.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.48 / $40.49 / $542.00	Professional	TC	$19.48	$40.49	$542.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $56.85 / $77.59	Professional		$39.89	$56.85	$77.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $22.65 / $43.63	Professional		$7.36	$22.65	$43.63
United Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $45.56 / $72.15	Professional		$27.07	$45.56	$72.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $11.37 / $20.45	Professional	26	$7.58	$11.37	$20.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.45 / $33.82 / $55.13	Professional	TC	$19.45	$33.82	$55.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.03 / $49.40 / $58.10	Professional		$39.03	$49.40	$58.10
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $11.06 / $14.00 / $16.50	Professional	26	$11.06	$14.00	$16.50
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $27.97 / $35.40 / $41.60	Professional	TC	$27.97	$35.40	$41.60