Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.98 / $43.03 / $116.77	Facility	26	$12.98	$43.03	$116.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.80 / $85.17 / $252.00	Professional		$41.80	$85.17	$252.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.12 / $17.96 / $62.58	Professional	26	$12.12	$17.96	$62.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.68 / $31.96 / $91.41	Professional	TC	$29.68	$31.96	$91.41
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.91 / $13.91 / $13.91	Professional	26	$13.91	$13.91	$13.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.92 / $88.64 / $90.85	Professional		$82.92	$88.64	$90.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.91 / $25.55 / $26.87	Professional	26	$23.91	$25.55	$26.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.82 / $63.07 / $64.65	Professional	TC	$57.82	$63.07	$64.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.42 / $75.42 / $75.42	Facility	26	$75.42	$75.42	$75.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.33 / $101.77 / $139.63	Professional		$47.33	$101.77	$139.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.43 / $29.83 / $37.82	Professional	26	$15.43	$29.83	$37.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.72 / $73.30 / $101.81	Professional	TC	$32.72	$73.30	$101.81
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 $52.13 / $84.71 / $438.00	Professional		$52.13	$84.71	$438.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.57 / $26.93 / $97.41	Professional	26	$16.57	$26.93	$97.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $35.56 / $57.78 / $423.00	Professional	TC	$35.56	$57.78	$423.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $43.06 / $44.32 / $75.42	Facility	26	$43.06	$44.32	$75.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.66 / $93.75 / $120.10	Professional		$74.66	$93.75	$120.10
United Facility/Professional Professional Modifier Low / Median / High Price $52.13 / $83.71 / $108.60	Professional		$52.13	$83.71	$108.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.57 / $26.93 / $33.88	Professional	26	$16.57	$26.93	$33.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.56 / $60.33 / $72.68	Professional	TC	$35.56	$60.33	$72.68