Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $25.70 / $75.86	Facility	26	$16.98	$25.70	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $51.29 / $165.96	Professional		$30.20	$51.29	$165.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $17.38 / $21.38	Professional	26	$7.08	$17.38	$21.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $36.31 / $66.07	Professional	TC	$22.39	$36.31	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $24.55 / $81.28	Professional		$21.88	$24.55	$81.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $8.91 / $19.95	Professional	26	$6.31	$8.91	$19.95
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $31.62 / $63.10	Professional	TC	$21.38	$31.62	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $67.61 / $70.79	Professional		$61.66	$67.61	$70.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $15.14 / $16.60	Professional	26	$14.13	$15.14	$16.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $52.48 / $54.95	Professional	TC	$47.86	$52.48	$54.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $44.67 / $44.67	Facility	26	$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $70.79 / $112.20	Professional		$28.84	$70.79	$112.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $16.98 / $23.99	Professional	26	$7.59	$16.98	$23.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $54.95 / $89.13	Professional	TC	$22.39	$54.95	$89.13
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $54.95 / $245.47	Professional		$34.67	$54.95	$245.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $14.79 / $61.66	Professional	26	$10.23	$14.79	$61.66
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $40.74 / $190.55	Professional	TC	$24.55	$40.74	$190.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $81.28 / $128.82	Professional		$70.79	$81.28	$128.82
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $18.62 / $28.18	Professional	26	$15.49	$18.62	$28.18
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $63.10 / $100.00	Professional	TC	$54.95	$63.10	$100.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $44.67 / $44.67	Facility	26	$44.67	$44.67	$44.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $52.48 / $128.82	Professional		$50.12	$52.48	$128.82
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $16.98 / $28.18	Professional	26	$14.13	$16.98	$28.18
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $36.31 / $100.00	Professional	TC	$34.67	$36.31	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.98 / $83.18	Professional		$34.67	$48.98	$83.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $13.49 / $21.38	Professional	26	$8.91	$13.49	$21.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $37.15 / $61.66	Professional	TC	$24.55	$37.15	$61.66