Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.94 / $73.28 / $98.17	Facility	26	$29.94	$73.28	$98.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $64.06 / $110.46	Professional		$51.82	$64.06	$110.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.94 / $32.83 / $75.63	Professional	26	$29.94	$32.83	$75.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.32 / $34.11 / $76.23	Professional	TC	$19.32	$34.11	$76.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $74.34 / $74.34 / $74.34	Professional	26	$74.34	$74.34	$74.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.81 / $101.56 / $138.21	Professional		$60.81	$101.56	$138.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.35 / $47.36 / $64.45	Professional	26	$28.35	$47.36	$64.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.45 / $54.18 / $73.75	Professional	TC	$32.45	$54.18	$73.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $127.03 / $158.25	Professional		$72.70	$127.03	$158.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.46 / $65.00 / $80.26	Professional	26	$40.46	$65.00	$80.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.27 / $55.12 / $84.28	Professional	TC	$25.27	$55.12	$84.28
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $72.78 / $145.80 / $145.80	Facility	26	$72.78	$145.80	$145.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.56 / $109.97 / $486.90	Professional		$88.56	$109.97	$486.90
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $50.98 / $62.13 / $196.52	Professional	26	$50.98	$62.13	$196.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.09 / $46.83 / $244.63	Professional	TC	$30.09	$46.83	$244.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $113.20 / $157.49	Professional		$75.03	$113.20	$157.49
United Facility/Professional Professional Modifier Low / Median / High Price $92.61 / $115.76 / $160.82	Professional		$92.61	$115.76	$160.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.98 / $63.72 / $78.15	Professional	26	$50.98	$63.72	$78.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.40 / $50.74 / $85.67	Professional	TC	$33.40	$50.74	$85.67