Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.82 / $19.82 / $19.82	Facility	26	$19.82	$19.82	$19.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.63 / $47.92 / $107.45	Professional		$40.63	$47.92	$107.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.71 / $20.70 / $48.20	Professional	26	$17.71	$20.70	$48.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.82 / $23.91 / $35.84	Professional	TC	$20.82	$23.91	$35.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $102.82 / $102.82	Professional		$102.82	$102.82	$102.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $71.04 / $100.56	Professional		$44.24	$71.04	$100.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.73 / $31.69 / $44.88	Professional	26	$19.73	$31.69	$44.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.41 / $39.32 / $55.46	Professional	TC	$24.41	$39.32	$55.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $91.43 / $119.75	Professional		$37.54	$91.43	$119.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.07 / $41.72 / $55.94	Professional	26	$17.07	$41.72	$55.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.58 / $50.81 / $63.80	Professional	TC	$20.58	$50.81	$63.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $77.97 / $339.23	Professional		$43.52	$77.97	$339.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.80 / $33.76 / $128.44	Professional	26	$19.80	$33.76	$128.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.96 / $41.40 / $221.35	Professional	TC	$25.96	$41.40	$221.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $71.58 / $95.45 / $119.75	Professional		$71.58	$95.45	$119.75
United Facility/Professional Professional Modifier Low / Median / High Price $42.62 / $71.70 / $109.94	Professional		$42.62	$71.70	$109.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.32 / $29.54 / $51.76	Professional	26	$18.32	$29.54	$51.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.25 / $51.74 / $59.46	Professional	TC	$24.25	$51.74	$59.46