Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.75 / $79.93 / $134.74	Facility	26	$15.75	$79.93	$134.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.93 / $43.94 / $213.00	Professional		$40.93	$43.94	$213.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.08 / $15.70 / $38.10	Professional	26	$14.08	$15.70	$38.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.24 / $28.25 / $56.30	Professional	TC	$26.24	$28.25	$56.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $28.84 / $28.84	Professional	26	$28.84	$28.84	$28.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $86.68 / $88.84	Professional		$79.45	$86.68	$88.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.93 / $30.92 / $31.69	Professional	26	$28.93	$30.92	$31.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.06 / $55.75 / $57.14	Professional	TC	$50.06	$55.75	$57.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.26 / $91.26 / $91.26	Facility	26	$91.26	$91.26	$91.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.96 / $98.91 / $134.78	Professional		$43.96	$98.91	$134.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.19 / $36.03 / $46.54	Professional	26	$19.19	$36.03	$46.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.13 / $63.93 / $88.24	Professional	TC	$28.13	$63.93	$88.24
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $80.00 / $80.00 / $80.00	Facility	26	$80.00	$80.00	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.26 / $83.31 / $301.08	Professional		$51.26	$83.31	$301.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.04 / $31.88 / $104.20	Professional	26	$20.04	$31.88	$104.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $31.22 / $50.74 / $196.89	Professional	TC	$31.22	$50.74	$196.89
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $91.26 / $378.00 / $389.01	Facility	26	$91.26	$378.00	$389.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $71.38 / $88.88 / $117.70	Professional		$71.38	$88.88	$117.70
United Facility/Professional Professional Modifier Low / Median / High Price $51.26 / $82.32 / $104.79	Professional		$51.26	$82.32	$104.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.04 / $31.88 / $40.97	Professional	26	$20.04	$31.88	$40.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.88 / $46.06 / $63.82	Professional	TC	$28.88	$46.06	$63.82