Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.69 / $13.69 / $13.69	Facility	26	$13.69	$13.69	$13.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $39.72 / $154.00	Professional		$35.75	$39.72	$154.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.25 / $14.52 / $35.94	Professional	26	$13.25	$14.52	$35.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.06 / $25.10 / $31.96	Professional	TC	$22.06	$25.10	$31.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $67.47 / $67.47	Professional		$35.22	$67.47	$67.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.90 / $31.90 / $33.99	Professional	26	$31.90	$31.90	$33.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $59.32 / $79.90	Professional		$35.15	$59.32	$79.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.10 / $22.10 / $29.78	Professional	26	$13.10	$22.10	$29.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.05 / $37.21 / $50.14	Professional	TC	$22.05	$37.21	$50.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $81.65 / $159.27	Professional		$51.25	$81.65	$159.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.58 / $29.73 / $55.81	Professional	26	$20.58	$29.73	$55.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.43 / $53.04 / $103.46	Professional	TC	$30.43	$53.04	$103.46
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $33.53 / $100.00 / $100.00	Facility	26	$33.53	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.23 / $72.93 / $348.00	Professional		$51.23	$72.93	$348.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.55 / $31.43 / $89.60	Professional	26	$22.55	$31.43	$89.60
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $33.03 / $44.16 / $198.00	Professional	TC	$33.03	$44.16	$198.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.44 / $76.33 / $98.98	Professional		$48.44	$76.33	$98.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $44.98 / $80.06	Professional		$16.20	$44.98	$80.06
United Facility/Professional Professional Modifier Low / Median / High Price $49.63 / $65.97 / $89.90	Professional		$49.63	$65.97	$89.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.22 / $28.41 / $35.74	Professional	26	$19.22	$28.41	$35.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.62 / $41.95 / $54.16	Professional	TC	$27.62	$41.95	$54.16