Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.24 / $26.20 / $70.59	Facility	26	$14.24	$26.20	$70.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $70.68 / $102.48	Professional		$37.39	$70.68	$102.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $14.24 / $47.00	Professional	26	$7.78	$14.24	$47.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.77 / $63.35 / $104.66	Professional	TC	$25.77	$63.35	$104.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.52 / $26.44 / $33.04	Professional	26	$19.52	$26.44	$33.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.12 / $78.15 / $82.81	Professional		$73.12	$78.15	$82.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.51 / $27.30 / $27.98	Professional	26	$24.51	$27.30	$27.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $47.60 / $50.88 / $53.34	Professional	TC	$47.60	$50.88	$53.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.52 / $80.52 / $80.52	Facility	26	$80.52	$80.52	$80.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.39 / $94.98 / $134.78	Professional		$50.39	$94.98	$134.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.00 / $32.03 / $41.69	Professional	26	$14.00	$32.03	$41.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.68 / $61.80 / $95.10	Professional	TC	$34.68	$61.80	$95.10
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $53.20 / $100.00 / $100.00	Facility	26	$53.20	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.54 / $84.82 / $475.98	Professional		$46.54	$84.82	$475.98
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.18 / $23.59 / $211.35	Professional	26	$11.18	$23.59	$211.35
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.85 / $56.82 / $429.40	Professional	TC	$28.85	$56.82	$429.40
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $27.40 / $28.20 / $80.52	Facility	26	$27.40	$28.20	$80.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $98.43 / $135.00	Professional		$79.20	$98.43	$135.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.54 / $84.02 / $104.45	Professional		$46.54	$84.02	$104.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.75 / $23.59 / $36.15	Professional	26	$14.75	$23.59	$36.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.85 / $51.41 / $94.26	Professional	TC	$28.85	$51.41	$94.26