Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.30 / $59.37 / $79.56	Facility	26	$24.30	$59.37	$79.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $57.19 / $186.00	Professional		$43.79	$57.19	$186.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.30 / $28.51 / $103.00	Professional	26	$24.30	$28.51	$103.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.87 / $32.89 / $73.48	Professional	TC	$17.87	$32.89	$73.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $109.73 / $109.73	Professional		$109.73	$109.73	$109.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $55.92 / $55.92 / $55.92	Professional	26	$55.92	$55.92	$55.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.93 / $90.06 / $122.56	Professional		$53.93	$90.06	$122.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.96 / $38.35 / $52.20	Professional	26	$22.96	$38.35	$52.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.96 / $51.72 / $70.39	Professional	TC	$30.96	$51.72	$70.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.66 / $112.42 / $141.26	Professional		$62.66	$112.42	$141.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.85 / $52.76 / $64.56	Professional	26	$32.85	$52.76	$64.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.73 / $53.38 / $81.23	Professional	TC	$22.73	$53.38	$81.23
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $58.37 / $118.83 / $118.83	Facility	26	$58.37	$118.83	$118.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.87 / $96.55 / $398.18	Professional		$77.87	$96.55	$398.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $41.38 / $51.72 / $160.04	Professional	26	$41.38	$51.72	$160.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.36 / $45.05 / $238.14	Professional	TC	$28.36	$45.05	$238.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $62.66 / $94.64 / $139.66	Professional		$62.66	$94.64	$139.66
United Facility/Professional Professional Modifier Low / Median / High Price $78.62 / $99.24 / $143.55	Professional		$78.62	$99.24	$143.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.67 / $55.24 / $63.77	Professional	26	$42.67	$55.24	$63.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.36 / $47.56 / $82.55	Professional	TC	$28.36	$47.56	$82.55