Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.03 / $26.67 / $72.20	Facility	26	$8.03	$26.67	$72.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $67.88 / $196.00	Professional		$33.35	$67.88	$196.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $18.66 / $43.00	Professional	26	$8.02	$18.66	$43.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.66 / $45.64 / $142.00	Professional	TC	$25.66	$45.64	$142.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $81.81 / $81.81	Professional		$81.81	$81.81	$81.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.05 / $15.34 / $16.05	Professional	26	$11.05	$15.34	$16.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.65 / $69.09 / $70.81	Professional		$64.65	$69.09	$70.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.21 / $15.18 / $16.60	Professional	26	$14.21	$15.18	$16.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $49.42 / $53.92 / $55.27	Professional	TC	$49.42	$53.92	$55.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.82 / $44.82 / $44.82	Facility	26	$44.82	$44.82	$44.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $80.41 / $109.57	Professional		$36.63	$80.41	$109.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $18.42 / $23.27	Professional	26	$9.77	$18.42	$23.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.07 / $62.51 / $86.30	Professional	TC	$28.07	$62.51	$86.30
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $65.44 / $245.68	Professional		$40.27	$65.44	$245.68
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $16.63 / $61.09	Professional	26	$10.24	$16.63	$61.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.03 / $48.81 / $192.57	Professional	TC	$30.03	$48.81	$192.57
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $26.78 / $27.56 / $44.82	Facility	26	$26.78	$27.56	$44.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $73.12 / $97.59	Professional		$50.00	$73.12	$97.59
United Facility/Professional Professional Modifier Low / Median / High Price $34.88 / $64.70 / $82.32	Professional		$34.88	$64.70	$82.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $16.63 / $20.92	Professional	26	$10.24	$16.63	$20.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.03 / $48.23 / $61.40	Professional	TC	$30.03	$48.23	$61.40