Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.72 / $16.73 / $22.42	Facility	26	$6.72	$16.73	$22.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $32.90 / $117.26	Professional		$23.43	$32.90	$117.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.72 / $8.57 / $32.47	Professional	26	$6.72	$8.57	$32.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.71 / $21.72 / $34.19	Professional	TC	$16.71	$21.72	$34.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.67 / $15.67 / $15.67	Professional	26	$15.67	$15.67	$15.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.46 / $37.89 / $51.04	Professional		$22.46	$37.89	$51.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.44 / $10.85 / $14.63	Professional	26	$6.44	$10.85	$14.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $27.03 / $36.42	Professional	TC	$16.03	$27.03	$36.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.95 / $54.76 / $66.84	Professional		$27.95	$54.76	$66.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.90 / $15.13 / $19.01	Professional	26	$7.90	$15.13	$19.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.87 / $39.29 / $47.84	Professional	TC	$20.87	$39.29	$47.84
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 $32.33 / $55.21 / $644.00	Professional		$32.33	$55.21	$644.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.30 / $14.30 / $228.88	Professional	26	$9.30	$14.30	$228.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.03 / $39.34 / $542.00	Professional	TC	$23.03	$39.34	$542.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $56.85 / $75.00	Professional		$39.89	$56.85	$75.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $35.36 / $69.00	Professional		$13.12	$35.36	$69.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.33 / $56.36 / $61.60	Professional		$32.33	$56.36	$61.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.30 / $15.44 / $17.71	Professional	26	$9.30	$15.44	$17.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.03 / $39.86 / $46.09	Professional	TC	$23.03	$39.86	$46.09