Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.69 / $11.69 / $11.69	Facility	26	$11.69	$11.69	$11.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.84 / $42.57 / $90.60	Professional		$36.84	$42.57	$90.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.24 / $12.03 / $27.96	Professional	26	$11.24	$12.03	$27.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.15 / $29.92 / $36.59	Professional	TC	$25.15	$29.92	$36.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.47 / $21.47 / $21.47	Professional	26	$21.47	$21.47	$21.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $66.43 / $90.40	Professional		$39.78	$66.43	$90.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.18 / $18.87 / $25.43	Professional	26	$11.18	$18.87	$25.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.59 / $46.78 / $64.95	Professional	TC	$28.59	$46.78	$64.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.96 / $92.82 / $181.05	Professional		$52.96	$92.82	$181.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.60 / $25.38 / $47.64	Professional	26	$17.60	$25.38	$47.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.36 / $64.80 / $133.40	Professional	TC	$35.36	$64.80	$133.40
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $28.55 / $80.00 / $80.00	Facility	26	$28.55	$80.00	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.05 / $77.29 / $251.93	Professional		$60.05	$77.29	$251.93
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.25 / $24.26 / $76.73	Professional	26	$19.25	$24.26	$76.73
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $40.79 / $51.36 / $175.19	Professional	TC	$40.79	$51.36	$175.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $58.06 / $82.89 / $104.49	Professional		$58.06	$82.89	$104.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $52.26 / $91.13	Professional		$13.89	$52.26	$91.13
United Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $76.23 / $93.51	Professional		$50.25	$76.23	$93.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.93 / $24.10 / $30.52	Professional	26	$16.93	$24.10	$30.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.29 / $50.08 / $62.99	Professional	TC	$39.29	$50.08	$62.99