Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.82 / $31.82 / $31.82	Facility	26	$31.82	$31.82	$31.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.43 / $88.55 / $359.00	Professional		$75.43	$88.55	$359.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.21 / $64.00 / $104.80	Professional	26	$31.21	$64.00	$104.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.21 / $46.81 / $277.83	Professional	TC	$44.21	$46.81	$277.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.10 / $74.19 / $74.19	Professional	26	$34.10	$74.19	$74.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.78 / $152.62 / $156.44	Professional		$142.78	$152.62	$156.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.06 / $62.06 / $63.60	Professional	26	$58.06	$62.06	$63.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $84.71 / $90.56 / $92.81	Professional	TC	$84.71	$90.56	$92.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $183.18 / $183.18 / $183.18	Facility	26	$183.18	$183.18	$183.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.75 / $181.53 / $237.56	Professional		$84.75	$181.53	$237.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.74 / $73.06 / $94.05	Professional	26	$38.74	$73.06	$94.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.71 / $103.90 / $143.50	Professional	TC	$51.71	$103.90	$143.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $149.85 / $149.85 / $149.85	Facility	26	$149.85	$149.85	$149.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.26 / $151.56 / $546.16	Professional		$93.26	$151.56	$546.16
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.90 / $66.48 / $210.44	Professional	26	$40.90	$66.48	$210.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $52.35 / $85.08 / $335.78	Professional	TC	$52.35	$85.08	$335.78
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $99.36 / $102.26 / $183.18	Facility	26	$99.36	$102.26	$183.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.62 / $185.08 / $276.26	Professional		$154.62	$185.08	$276.26
United Facility/Professional Professional Modifier Low / Median / High Price $93.26 / $153.62 / $190.65	Professional		$93.26	$153.62	$190.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.90 / $64.03 / $83.63	Professional	26	$40.90	$64.03	$83.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.35 / $87.94 / $109.07	Professional	TC	$52.35	$87.94	$109.07