Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.46 / $24.54 / $66.44	Facility	26	$14.46	$24.54	$66.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $39.24 / $117.00	Professional		$17.27	$39.24	$117.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.18 / $18.32 / $52.51	Professional	26	$14.18	$18.32	$52.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.48 / $24.84 / $157.82	Professional	TC	$11.48	$24.84	$157.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.89 / $33.89 / $33.89	Professional		$33.89	$33.89	$33.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.44 / $26.87 / $32.00	Professional	26	$15.44	$26.87	$32.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $78.48 / $80.59	Professional		$70.59	$78.48	$80.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.46 / $28.35 / $29.07	Professional	26	$25.46	$28.35	$29.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.13 / $49.75 / $51.52	Professional	TC	$45.13	$49.75	$51.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.70 / $83.70 / $83.70	Facility	26	$83.70	$83.70	$83.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $86.37 / $125.08	Professional		$33.97	$86.37	$125.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.15 / $32.03 / $42.66	Professional	26	$12.15	$32.03	$42.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.26 / $51.65 / $82.42	Professional	TC	$18.26	$51.65	$82.42
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 $24.27 / $64.05 / $738.38	Professional		$24.27	$64.05	$738.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.67 / $24.51 / $95.54	Professional	26	$10.67	$24.51	$95.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $14.60 / $39.54 / $724.28	Professional	TC	$14.60	$39.54	$724.28
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $24.94 / $25.66 / $83.70	Facility	26	$24.94	$25.66	$83.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.83 / $43.00 / $99.00	Professional		$31.83	$43.00	$99.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $64.05 / $98.19	Professional		$29.94	$64.05	$98.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.10 / $24.51 / $37.58	Professional	26	$14.10	$24.51	$37.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.82 / $47.62 / $60.61	Professional	TC	$17.82	$47.62	$60.61