Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.61 / $48.84 / $65.45	Facility	26	$19.61	$48.84	$65.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $53.12 / $84.70	Professional		$39.60	$53.12	$84.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.61 / $21.35 / $98.00	Professional	26	$19.61	$21.35	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.01 / $33.51 / $74.86	Professional	TC	$17.01	$33.51	$74.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $103.50 / $103.50	Professional		$103.50	$103.50	$103.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.61 / $84.54 / $115.05	Professional		$50.61	$84.54	$115.05
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.77 / $31.34 / $42.64	Professional	26	$18.77	$31.34	$42.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.85 / $53.20 / $72.40	Professional	TC	$31.85	$53.20	$72.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.53 / $106.07 / $131.21	Professional		$55.53	$106.07	$131.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.64 / $42.10 / $51.47	Professional	26	$26.64	$42.10	$51.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.72 / $55.12 / $82.77	Professional	TC	$22.72	$55.12	$82.77
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $47.70 / $97.62 / $97.62	Facility	26	$47.70	$97.62	$97.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $85.04 / $378.70	Professional		$70.31	$85.04	$378.70
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.40 / $41.74 / $130.11	Professional	26	$33.40	$41.74	$130.11
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.94 / $46.24 / $242.47	Professional	TC	$28.94	$46.24	$242.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $55.53 / $85.04 / $131.10	Professional		$55.53	$85.04	$131.10
United Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $93.12 / $126.69	Professional		$74.50	$93.12	$126.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.40 / $44.29 / $51.46	Professional	26	$33.40	$44.29	$51.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.94 / $50.10 / $84.11	Professional	TC	$28.94	$50.10	$84.11