Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.03 / $25.98 / $72.20	Facility	26	$8.03	$25.98	$72.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.86 / $60.26 / $168.00	Professional		$29.86	$60.26	$168.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $18.05 / $21.07	Professional	26	$7.95	$18.05	$21.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.62 / $41.68 / $55.84	Professional	TC	$21.62	$41.68	$55.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $24.51 / $24.51	Professional		$24.51	$24.51	$24.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.59 / $14.96 / $18.69	Professional	26	$8.59	$14.96	$18.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.52 / $59.34 / $60.82	Professional		$55.52	$59.34	$60.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.77 / $15.80 / $16.60	Professional	26	$14.77	$15.80	$16.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $43.53 / $44.63	Professional	TC	$40.74	$43.53	$44.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.62 / $46.62 / $46.62	Facility	26	$46.62	$46.62	$46.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.36 / $69.04 / $94.05	Professional		$31.36	$69.04	$94.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $18.41 / $23.27	Professional	26	$9.77	$18.41	$23.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.96 / $50.48 / $70.78	Professional	TC	$24.96	$50.48	$70.78
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 $34.36 / $55.84 / $208.83	Professional		$34.36	$55.84	$208.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $16.63 / $66.04	Professional	26	$10.24	$16.63	$66.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.13 / $39.21 / $188.00	Professional	TC	$24.13	$39.21	$188.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $26.75 / $27.53 / $46.62	Facility	26	$26.75	$27.53	$46.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $65.40 / $85.61	Professional		$54.60	$65.40	$85.61
United Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $55.19 / $70.25	Professional		$34.00	$55.19	$70.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $16.26 / $20.92	Professional	26	$10.19	$16.26	$20.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.13 / $44.01 / $50.27	Professional	TC	$24.13	$44.01	$50.27