Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.36 / $45.15 / $76.09	Facility	26	$8.36	$45.15	$76.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $30.60 / $155.38	Professional		$19.30	$30.60	$155.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $18.76 / $42.15	Professional	26	$7.95	$18.76	$42.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.70 / $22.05 / $107.67	Professional	TC	$13.70	$22.05	$107.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.41 / $8.93 / $19.42	Professional	26	$6.41	$8.93	$19.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.24 / $44.07 / $45.60	Professional		$41.24	$44.07	$45.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.35 / $16.39 / $17.23	Professional	26	$15.35	$16.39	$17.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.89 / $27.68 / $28.37	Professional	TC	$25.89	$27.68	$28.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.42 / $48.42 / $48.42	Facility	26	$48.42	$48.42	$48.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $51.24 / $70.63	Professional		$28.04	$51.24	$70.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.16 / $19.12 / $24.24	Professional	26	$10.16	$19.12	$24.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.86 / $32.74 / $49.52	Professional	TC	$18.86	$32.74	$49.52
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 $30.83 / $47.74 / $203.00	Professional		$30.83	$47.74	$203.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.63 / $17.28 / $84.21	Professional	26	$10.63	$17.28	$84.21
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.20 / $29.04 / $165.00	Professional	TC	$20.20	$29.04	$165.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $30.28 / $31.16 / $48.42	Facility	26	$30.28	$31.16	$48.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.66 / $57.43 / $72.73	Professional		$44.66	$57.43	$72.73
United Facility/Professional Professional Modifier Low / Median / High Price $30.83 / $47.74 / $63.02	Professional		$30.83	$47.74	$63.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.63 / $16.79 / $21.74	Professional	26	$10.63	$16.79	$21.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.20 / $32.43 / $41.28	Professional	TC	$20.20	$32.43	$41.28