Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.27 / $48.46 / $64.89	Facility	26	$17.27	$48.46	$64.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $46.75 / $81.26	Professional		$36.57	$46.75	$81.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.27 / $21.23 / $91.00	Professional	26	$17.27	$21.23	$91.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.33 / $29.48 / $59.59	Professional	TC	$15.33	$29.48	$59.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.53 / $105.53 / $105.53	Professional		$105.53	$105.53	$105.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.93 / $73.37 / $99.84	Professional		$43.93	$73.37	$99.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.23 / $27.10 / $36.88	Professional	26	$16.23	$27.10	$36.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.69 / $46.27 / $62.96	Professional	TC	$27.69	$46.27	$62.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.86 / $95.00 / $115.47	Professional		$53.86	$95.00	$115.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.67 / $37.47 / $47.87	Professional	26	$24.67	$37.47	$47.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.19 / $47.28 / $72.81	Professional	TC	$21.19	$47.28	$72.81
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $41.24 / $98.31 / $98.31	Facility	26	$41.24	$98.31	$98.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $77.76 / $351.65	Professional		$63.68	$77.76	$351.65
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $29.39 / $39.69 / $131.37	Professional	26	$29.39	$39.69	$131.37
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.90 / $40.33 / $214.27	Professional	TC	$25.90	$40.33	$214.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.41 / $77.76 / $113.77	Professional		$54.41	$77.76	$113.77
United Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $77.48 / $111.50	Professional		$65.25	$77.48	$111.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.31 / $39.39 / $45.32	Professional	26	$30.31	$39.39	$45.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.45 / $40.33 / $70.31	Professional	TC	$28.45	$40.33	$70.31