Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.09 / $25.30 / $36.90	Facility	26	$21.09	$25.30	$36.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $37.92 / $75.76	Professional		$31.70	$37.92	$75.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.09 / $22.48 / $71.44	Professional	26	$21.09	$22.48	$71.44
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.85 / $17.34 / $29.30	Professional	52	$15.85	$17.34	$29.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.61 / $11.91 / $15.42	Professional	TC	$10.61	$11.91	$15.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.56 / $53.13 / $64.69	Professional		$51.56	$53.13	$64.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.45 / $39.33 / $49.15	Professional	26	$18.45	$39.33	$49.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $52.25 / $70.39	Professional		$30.96	$52.25	$70.39
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.19 / $34.06 / $45.88	Professional	26	$20.19	$34.06	$45.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.77 / $18.19 / $24.51	Professional	TC	$10.77	$18.19	$24.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.25 / $71.19 / $138.85	Professional		$46.25	$71.19	$138.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.84 / $45.80 / $87.12	Professional	26	$31.84	$45.80	$87.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.15 / $24.13 / $51.73	Professional	TC	$14.15	$24.13	$51.73
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $51.77 / $98.42 / $98.42	Facility	26	$51.77	$98.42	$98.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.67 / $65.45 / $209.51	Professional		$50.67	$65.45	$209.51
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $34.75 / $43.76 / $138.46	Professional	26	$34.75	$43.76	$138.46
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $15.39 / $19.23 / $71.05	Professional	TC	$15.39	$19.23	$71.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $58.78 / $68.86 / $85.95	Professional		$58.78	$68.86	$85.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $40.81 / $71.16	Professional		$15.29	$40.81	$71.16
United Facility/Professional Professional Modifier Low / Median / High Price $42.86 / $64.12 / $79.56	Professional		$42.86	$64.12	$79.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.33 / $44.88 / $55.05	Professional	26	$29.33	$44.88	$55.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.53 / $19.57 / $26.63	Professional	TC	$13.53	$19.57	$26.63