Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.64 / $159.03 / $4,495.60	Facility		$37.64	$159.03	$4,495.60
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.36 / $62.04 / $104.57	Facility	26	$8.36	$62.04	$104.57
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.94 / $159.03 / $242.08	Facility	TC	$26.94	$159.03	$242.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $48.58 / $200.05	Professional		$33.50	$48.58	$200.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $24.07 / $56.37	Professional	26	$8.36	$24.07	$56.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.87 / $25.92 / $63.49	Professional	TC	$22.87	$25.92	$63.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.67 / $61.67 / $61.67	Professional		$61.67	$61.67	$61.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.96 / $16.00 / $20.74	Professional	26	$8.96	$16.00	$20.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.78 / $198.92 / $373.43	Facility		$146.78	$198.92	$373.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.85 / $66.12 / $67.76	Professional		$61.85	$66.12	$67.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.39 / $16.46 / $17.30	Professional	26	$15.39	$16.46	$17.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.46 / $49.65 / $50.89	Professional	TC	$46.46	$49.65	$50.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.12 / $195.12 / $600.00	Facility		$195.12	$195.12	$600.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.60 / $48.60 / $48.60	Facility	26	$48.60	$48.60	$48.60
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $146.52 / $146.52 / $146.52	Facility	TC	$146.52	$146.52	$146.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.73 / $76.84 / $104.72	Professional		$41.73	$76.84	$104.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.10 / $19.39 / $29.48	Professional	26	$11.10	$19.39	$29.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.68 / $56.85 / $80.48	Professional	TC	$27.68	$56.85	$80.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.51 / $69.00 / $342.77	Facility		$33.51	$69.00	$342.77
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 Facility Modifier TC Low / Median / High Price $124.11 / $124.11 / $124.11	Facility	TC	$124.11	$124.11	$124.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $64.23 / $230.47	Professional		$39.53	$64.23	$230.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.86 / $17.72 / $77.59	Professional	26	$11.86	$17.72	$77.59
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.67 / $44.97 / $214.00	Professional	TC	$27.67	$44.97	$214.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $66.98 / $76.84 / $122.26	Facility		$66.98	$76.84	$122.26
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $37.38 / $38.47 / $48.60	Facility	26	$37.38	$38.47	$48.60
Midlands Facility/Professional Facility Modifier TC Low / Median / High Price $48.24 / $83.73 / $146.52	Facility	TC	$48.24	$83.73	$146.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $75.72 / $94.72	Professional		$62.00	$75.72	$94.72
United Facility/Professional Facility Modifier Low / Median / High Price $132.38 / $138.34 / $180.70	Facility		$132.38	$138.34	$180.70
United Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $63.51 / $80.80	Professional		$39.53	$63.51	$80.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.86 / $18.95 / $24.24	Professional	26	$11.86	$18.95	$24.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.67 / $44.97 / $56.56	Professional	TC	$27.67	$44.97	$56.56