Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.01 / $48.46 / $64.89	Facility	26	$20.01	$48.46	$64.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $50.42 / $120.87	Professional		$29.85	$50.42	$120.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.55 / $20.01 / $52.92	Professional	26	$19.55	$20.01	$52.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.31 / $30.41 / $67.95	Professional	TC	$10.31	$30.41	$67.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.61 / $79.61 / $79.61	Professional		$79.61	$79.61	$79.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.75 / $79.75 / $108.53	Professional		$47.75	$79.75	$108.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.85 / $31.51 / $42.86	Professional	26	$18.85	$31.51	$42.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.89 / $48.25 / $65.65	Professional	TC	$28.89	$48.25	$65.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $99.52 / $124.54	Professional		$48.58	$99.52	$124.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.05 / $42.12 / $52.34	Professional	26	$27.05	$42.12	$52.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.14 / $49.04 / $75.11	Professional	TC	$19.14	$49.04	$75.11
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $48.04 / $92.34 / $92.34	Facility	26	$48.04	$92.34	$92.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.98 / $80.65 / $355.02	Professional		$51.98	$80.65	$355.02
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $34.08 / $41.54 / $132.09	Professional	26	$34.08	$41.54	$132.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.86 / $42.10 / $222.93	Professional	TC	$17.86	$42.10	$222.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $75.69 / $123.67	Professional		$44.67	$75.69	$123.67
United Facility/Professional Professional Modifier Low / Median / High Price $62.90 / $87.15 / $126.55	Professional		$62.90	$87.15	$126.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.08 / $42.68 / $52.51	Professional	26	$34.08	$42.68	$52.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $45.61 / $76.31	Professional	TC	$17.89	$45.61	$76.31