Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.71 / $7.71 / $14.64	Facility	26	$7.71	$7.71	$14.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $46.19 / $80.45	Professional		$24.82	$46.19	$80.45
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $47.07 / $47.07 / $47.07	Professional	25	$47.07	$47.07	$47.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.71 / $8.88 / $35.00	Professional	26	$7.71	$8.88	$35.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.11 / $24.81 / $35.42	Professional	TC	$17.11	$24.81	$35.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $48.76 / $59.40	Professional		$22.19	$48.76	$59.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $10.07 / $17.98	Professional	26	$6.76	$10.07	$17.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $41.15 / $55.45	Professional		$24.39	$41.15	$55.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.37 / $12.44 / $16.77	Professional	26	$7.37	$12.44	$16.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.02 / $28.71 / $38.67	Professional	TC	$17.02	$28.71	$38.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.73 / $63.18 / $110.26	Professional		$45.73	$63.18	$110.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.71 / $17.30 / $31.31	Professional	26	$11.71	$17.30	$31.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.01 / $44.06 / $78.95	Professional	TC	$34.01	$44.06	$78.95
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $18.87 / $100.00 / $100.00	Facility	26	$18.87	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.62 / $64.17 / $400.00	Professional		$49.62	$64.17	$400.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.71 / $16.55 / $132.09	Professional	26	$12.71	$16.55	$132.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $35.61 / $48.18 / $135.32	Professional	TC	$35.61	$48.18	$135.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.84 / $66.73 / $73.84	Professional		$50.84	$66.73	$73.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $32.19 / $56.12	Professional		$9.31	$32.19	$56.12
United Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $64.17 / $91.71	Professional		$43.95	$64.17	$91.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.75 / $15.99 / $22.88	Professional	26	$10.75	$15.99	$22.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.17 / $44.48 / $65.39	Professional	TC	$32.17	$44.48	$65.39