Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.22 / $35.22 / $35.22	Facility	26	$35.22	$35.22	$35.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.63 / $64.23 / $141.00	Professional		$54.63	$64.23	$141.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.17 / $37.79 / $85.56	Professional	26	$31.17	$37.79	$85.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.10 / $24.53 / $36.77	Professional	TC	$21.10	$24.53	$36.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.57 / $111.57 / $141.59	Professional		$111.57	$111.57	$141.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $82.82 / $82.82 / $82.82	Professional	26	$82.82	$82.82	$82.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.50 / $97.12 / $137.47	Professional		$60.50	$97.12	$137.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.38 / $56.79 / $80.40	Professional	26	$35.38	$56.79	$80.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.03 / $40.32 / $56.90	Professional	TC	$25.03	$40.32	$56.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.91 / $123.48 / $163.16	Professional		$50.91	$123.48	$163.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.13 / $74.05 / $99.33	Professional	26	$30.13	$74.05	$99.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.86 / $52.41 / $63.83	Professional	TC	$20.86	$52.41	$63.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $96.85 / $396.08	Professional		$57.53	$96.85	$396.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $34.93 / $59.43 / $347.34	Professional	26	$34.93	$59.43	$347.34
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.38 / $37.42 / $166.53	Professional	TC	$23.38	$37.42	$166.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $125.28 / $163.16	Professional		$83.00	$125.28	$163.16
United Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $92.94 / $148.56	Professional		$57.53	$92.94	$148.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.50 / $59.43 / $91.10	Professional	26	$34.50	$59.43	$91.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.22 / $34.13 / $60.98	Professional	TC	$22.22	$34.13	$60.98