Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.38 / $11.38 / $11.38	Facility	26	$11.38	$11.38	$11.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $46.22 / $94.51	Professional		$40.54	$46.22	$94.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.24 / $12.45 / $29.07	Professional	26	$11.24	$12.45	$29.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.17 / $31.26 / $48.27	Professional	TC	$29.17	$31.26	$48.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.72 / $83.50 / $83.50	Professional		$41.72	$83.50	$83.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $14.85 / $26.51	Professional	26	$9.94	$14.85	$26.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.07 / $67.59 / $91.06	Professional		$40.07	$67.59	$91.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.89 / $18.37 / $24.75	Professional	26	$10.89	$18.37	$24.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.19 / $49.25 / $66.34	Professional	TC	$29.19	$49.25	$66.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.54 / $94.22 / $183.77	Professional		$56.54	$94.22	$183.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.16 / $24.70 / $46.28	Professional	26	$17.16	$24.70	$46.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.38 / $69.03 / $137.49	Professional	TC	$39.38	$69.03	$137.49
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $27.92 / $80.00 / $80.00	Facility	26	$27.92	$80.00	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.35 / $82.64 / $277.95	Professional		$62.35	$82.64	$277.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.76 / $23.61 / $74.58	Professional	26	$18.76	$23.61	$74.58
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $45.36 / $57.28 / $203.39	Professional	TC	$45.36	$57.28	$203.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.64 / $83.51 / $108.13	Professional		$61.64	$83.51	$108.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $54.07 / $94.27	Professional		$13.53	$54.07	$94.27
United Facility/Professional Professional Modifier Low / Median / High Price $55.49 / $78.59 / $101.78	Professional		$55.49	$78.59	$101.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.79 / $23.61 / $29.71	Professional	26	$15.79	$23.61	$29.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.70 / $58.08 / $73.22	Professional	TC	$39.70	$58.08	$73.22