Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.99 / $9.99 / $9.99	Facility	26	$9.99	$9.99	$9.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $67.70 / $167.00	Professional		$28.34	$67.70	$167.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.99 / $15.02 / $62.00	Professional	26	$9.99	$15.02	$62.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.35 / $21.23 / $70.19	Professional	TC	$18.35	$21.23	$70.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.72 / $24.72 / $24.72	Professional		$24.72	$24.72	$24.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.29 / $23.29 / $23.29	Professional	26	$23.29	$23.29	$23.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.46 / $46.34 / $62.43	Professional		$27.46	$46.34	$62.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.57 / $16.14 / $21.75	Professional	26	$9.57	$16.14	$21.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.91 / $30.21 / $40.71	Professional	TC	$17.91	$30.21	$40.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $67.40 / $78.51	Professional		$38.50	$67.40	$78.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.92 / $23.40 / $28.42	Professional	26	$14.92	$23.40	$28.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.88 / $44.00 / $51.96	Professional	TC	$23.88	$44.00	$51.96
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $70.00 / $70.00 / $70.00	Facility	26	$70.00	$70.00	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.81 / $69.73 / $195.66	Professional		$55.81	$69.73	$195.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.05 / $26.21 / $69.84	Professional	26	$22.05	$26.21	$69.84
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $32.35 / $41.15 / $129.61	Professional	TC	$32.35	$41.15	$129.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $73.38 / $80.69	Professional		$48.75	$73.38	$80.69
United Facility/Professional Professional Modifier Low / Median / High Price $55.81 / $71.13 / $85.56	Professional		$55.81	$71.13	$85.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.38 / $26.21 / $33.79	Professional	26	$20.38	$26.21	$33.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.35 / $43.76 / $51.76	Professional	TC	$32.35	$43.76	$51.76