Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.99 / $7.69 / $10.43	Facility	26	$2.99	$7.69	$10.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $43.21 / $135.06	Professional		$21.86	$43.21	$135.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.99 / $4.46 / $16.00	Professional	26	$2.99	$4.46	$16.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.93 / $10.93 / $67.53	Professional	52	$10.93	$10.93	$67.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.87 / $31.51 / $51.15	Professional	TC	$18.87	$31.51	$51.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $40.72 / $49.61	Professional		$40.72	$40.72	$49.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.92 / $5.92 / $6.97	Professional	26	$5.92	$5.92	$6.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.96 / $35.36 / $47.64	Professional		$20.96	$35.36	$47.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $2.85 / $4.82 / $6.50	Professional	26	$2.85	$4.82	$6.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.10 / $30.55 / $41.14	Professional	TC	$18.10	$30.55	$41.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $48.16 / $74.98	Professional		$25.07	$48.16	$74.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.59 / $6.51 / $8.42	Professional	26	$3.59	$6.51	$8.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.15 / $41.87 / $53.93	Professional	TC	$25.15	$41.87	$53.93
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $101.15 / $101.15 / $101.15	Facility	26	$101.15	$101.15	$101.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $51.48 / $724.06	Professional		$30.15	$51.48	$724.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $4.13 / $6.46 / $289.41	Professional	26	$4.13	$6.46	$289.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.01 / $44.42 / $660.75	Professional	TC	$26.01	$44.42	$660.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.24 / $49.46 / $119.70	Professional		$37.24	$49.46	$119.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $37.40 / $65.50	Professional		$5.83	$37.40	$65.50
United Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $53.05 / $80.51	Professional		$30.15	$53.05	$80.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.13 / $6.84 / $7.88	Professional	26	$4.13	$6.84	$7.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.01 / $45.02 / $67.54	Professional	TC	$26.01	$45.02	$67.54