Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.71 / $13.05 / $18.44	Facility	26	$9.71	$13.05	$18.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $62.60 / $136.19	Professional		$35.79	$62.60	$136.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.56 / $13.72 / $39.61	Professional	26	$9.56	$13.72	$39.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.08 / $37.78 / $60.86	Professional	TC	$26.08	$37.78	$60.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $72.23 / $85.04	Professional		$31.60	$72.23	$85.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.56 / $17.84 / $22.64	Professional	26	$10.56	$17.84	$22.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.92 / $58.90 / $79.34	Professional		$34.92	$58.90	$79.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.30 / $15.68 / $21.12	Professional	26	$9.30	$15.68	$21.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.62 / $43.22 / $58.22	Professional	TC	$25.62	$43.22	$58.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.78 / $98.34 / $159.27	Professional		$72.78	$98.34	$159.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.11 / $23.43 / $39.47	Professional	26	$18.11	$23.43	$39.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.40 / $68.81 / $119.79	Professional	TC	$53.40	$68.81	$119.79
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $23.82 / $100.00 / $100.00	Facility	26	$23.82	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.89 / $96.23 / $632.00	Professional		$73.89	$96.23	$632.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.85 / $24.61 / $223.21	Professional	26	$18.85	$24.61	$223.21
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $61.89 / $82.27 / $259.02	Professional	TC	$61.89	$82.27	$259.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.78 / $101.51 / $120.54	Professional		$72.78	$101.51	$120.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $47.09 / $82.11	Professional		$11.61	$47.09	$82.11
United Facility/Professional Professional Modifier Low / Median / High Price $66.30 / $107.23 / $154.96	Professional		$66.30	$107.23	$154.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.38 / $27.63 / $33.92	Professional	26	$19.38	$27.63	$33.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.61 / $93.31 / $113.30	Professional	TC	$51.61	$93.31	$113.30