Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.02 / $49.92 / $84.15	Facility	26	$9.02	$49.92	$84.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $55.00 / $176.00	Professional		$28.91	$55.00	$176.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $21.16 / $51.00	Professional	26	$9.02	$21.16	$51.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.79 / $25.42 / $50.25	Professional	TC	$20.79	$25.42	$50.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.68 / $9.74 / $21.05	Professional	26	$9.68	$9.74	$21.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.93 / $61.93 / $63.49	Professional		$57.93	$61.93	$63.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.64 / $17.80 / $18.69	Professional	26	$16.64	$17.80	$18.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.03 / $44.15 / $45.25	Professional	TC	$40.03	$44.15	$45.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.50 / $52.50 / $52.50	Facility	26	$52.50	$52.50	$52.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.25 / $71.17 / $96.96	Professional		$33.25	$71.17	$96.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.10 / $20.74 / $26.18	Professional	26	$11.10	$20.74	$26.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.01 / $51.20 / $70.78	Professional	TC	$23.01	$51.20	$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 $36.46 / $59.24 / $217.42	Professional		$36.46	$59.24	$217.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.93 / $19.14 / $72.64	Professional	26	$11.93	$19.14	$72.64
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.53 / $39.86 / $199.00	Professional	TC	$24.53	$39.86	$199.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $31.15 / $32.04 / $52.50	Facility	26	$31.15	$32.04	$52.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $69.30 / $89.26	Professional		$56.28	$69.30	$89.26
United Facility/Professional Professional Modifier Low / Median / High Price $36.46 / $59.24 / $74.52	Professional		$36.46	$59.24	$74.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.93 / $18.96 / $24.38	Professional	26	$11.93	$18.96	$24.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.53 / $41.64 / $50.14	Professional	TC	$24.53	$41.64	$50.14