Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.97 / $34.54 / $46.28	Facility	26	$13.97	$34.54	$46.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $43.14 / $102.07	Professional		$26.23	$43.14	$102.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.75 / $13.97 / $36.86	Professional	26	$13.75	$13.97	$36.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.63 / $29.17 / $65.20	Professional	TC	$11.63	$29.17	$65.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $32.54 / $32.54 / $32.56	Professional	26	$32.54	$32.54	$32.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $67.59 / $92.00	Professional		$40.47	$67.59	$92.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.36 / $22.32 / $30.39	Professional	26	$13.36	$22.32	$30.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.10 / $45.28 / $61.60	Professional	TC	$27.10	$45.28	$61.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.33 / $84.47 / $106.56	Professional		$40.33	$84.47	$106.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.88 / $29.39 / $36.64	Professional	26	$18.88	$29.39	$36.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.14 / $48.14 / $72.05	Professional	TC	$19.14	$48.14	$72.05
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $33.90 / $80.00 / $80.00	Facility	26	$33.90	$80.00	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.39 / $68.27 / $306.10	Professional		$44.39	$68.27	$306.10
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.16 / $29.62 / $93.99	Professional	26	$24.16	$29.62	$93.99
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.09 / $40.93 / $212.11	Professional	TC	$20.09	$40.93	$212.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.68 / $65.81 / $104.83	Professional		$37.68	$65.81	$104.83
United Facility/Professional Professional Modifier Low / Median / High Price $54.89 / $73.95 / $102.89	Professional		$54.89	$73.95	$102.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.31 / $32.06 / $37.26	Professional	26	$24.31	$32.06	$37.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.02 / $44.34 / $73.22	Professional	TC	$22.02	$44.34	$73.22