Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.44 / $33.11 / $102.33	Facility	26	$23.44	$33.11	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $45.71 / $208.93	Professional		$33.88	$45.71	$208.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $10.96 / $26.30	Professional	26	$8.91	$10.96	$26.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $28.84 / $75.86	Professional	TC	$24.55	$28.84	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $74.13 / $77.62	Professional		$67.61	$74.13	$77.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $19.50 / $20.89	Professional	26	$18.62	$19.50	$20.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $54.95 / $57.54	Professional	TC	$50.12	$54.95	$57.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $58.88 / $58.88	Facility	26	$58.88	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $77.62 / $123.03	Professional		$31.62	$77.62	$123.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $20.89 / $29.51	Professional	26	$9.33	$20.89	$29.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $57.54 / $93.33	Professional	TC	$23.44	$57.54	$93.33
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 $40.74 / $60.26 / $269.15	Professional		$40.74	$60.26	$269.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $18.20 / $85.11	Professional	26	$13.18	$18.20	$85.11
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $43.65 / $245.47	Professional	TC	$29.51	$43.65	$245.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $87.10 / $138.04	Professional		$77.62	$87.10	$138.04
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $22.91 / $35.48	Professional	26	$20.42	$22.91	$35.48
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $66.07 / $104.71	Professional	TC	$57.54	$66.07	$104.71
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $58.88 / $58.88	Facility	26	$58.88	$58.88	$58.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $69.18 / $138.04	Professional		$66.07	$69.18	$138.04
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $20.89 / $35.48	Professional	26	$18.20	$20.89	$35.48
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $47.86 / $104.71	Professional	TC	$47.86	$47.86	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $56.23 / $91.20	Professional		$38.90	$56.23	$91.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $17.38 / $27.54	Professional	26	$11.48	$17.38	$27.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $38.90 / $64.57	Professional	TC	$27.54	$38.90	$64.57