Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.02 / $62.24 / $104.91	Facility	26	$10.02	$62.24	$104.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $59.69 / $205.80	Professional		$35.04	$59.69	$205.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $25.10 / $61.00	Professional	26	$10.02	$25.10	$61.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.65 / $30.45 / $68.88	Professional	TC	$24.65	$30.45	$68.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $29.60 / $29.60	Professional		$29.60	$29.60	$29.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.74 / $10.79 / $19.85	Professional	26	$10.74	$10.79	$19.85
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $49.93 / $49.93 / $49.93	Professional	TC	$49.93	$49.93	$49.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.90 / $69.37 / $71.09	Professional		$64.90	$69.37	$71.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.46 / $19.73 / $20.73	Professional	26	$18.46	$19.73	$20.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.46 / $49.65 / $50.89	Professional	TC	$46.46	$49.65	$50.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.26 / $58.26 / $58.26	Facility	26	$58.26	$58.26	$58.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $80.58 / $109.57	Professional		$37.21	$80.58	$109.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.24 / $23.02 / $29.56	Professional	26	$12.24	$23.02	$29.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.85 / $57.56 / $80.48	Professional	TC	$28.85	$57.56	$80.48
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 $40.86 / $67.93 / $262.00	Professional		$40.86	$67.93	$262.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.19 / $21.24 / $107.32	Professional	26	$13.19	$21.24	$107.32
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.68 / $44.99 / $249.00	Professional	TC	$27.68	$44.99	$249.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $39.14 / $40.28 / $58.26	Facility	26	$39.14	$40.28	$58.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $80.41 / $100.17	Professional		$70.31	$80.41	$100.17
United Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $67.27 / $85.15	Professional		$40.86	$67.27	$85.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.19 / $19.98 / $26.96	Professional	26	$13.19	$19.98	$26.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.68 / $44.99 / $56.59	Professional	TC	$27.68	$44.99	$56.59