Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.04 / $85.72 / $144.47	Facility	26	$40.04	$85.72	$144.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.05 / $145.06 / $616.64	Professional		$91.05	$145.06	$616.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $43.62 / $180.00	Professional	26	$15.71	$43.62	$180.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.43 / $94.75 / $345.83	Professional	TC	$47.43	$94.75	$345.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $95.00 / $95.00 / $95.00	Professional	26	$95.00	$95.00	$95.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.84 / $178.34 / $182.80	Professional		$166.84	$178.34	$182.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $76.62 / $85.34 / $87.46	Professional	26	$76.62	$85.34	$87.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $87.00 / $93.00 / $98.18	Professional	TC	$87.00	$93.00	$98.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $251.88 / $251.88 / $251.88	Facility	26	$251.88	$251.88	$251.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.46 / $208.15 / $324.91	Professional		$92.46	$208.15	$324.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.33 / $96.78 / $127.99	Professional	26	$34.33	$96.78	$127.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.02 / $111.48 / $200.33	Professional	TC	$65.02	$111.48	$200.33
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $205.87 / $205.87 / $205.87	Facility	26	$205.87	$205.87	$205.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.91 / $200.77 / $2,899.89	Professional		$120.91	$200.77	$2,899.89
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.04 / $74.47 / $425.60	Professional	26	$24.04	$74.47	$425.60
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $65.06 / $119.82 / $2,808.09	Professional	TC	$65.06	$119.82	$2,808.09
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $55.00 / $56.60 / $251.88	Facility	26	$55.00	$56.60	$251.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $164.72 / $204.23 / $484.37	Professional		$164.72	$204.23	$484.37
United Facility/Professional Professional Modifier Low / Median / High Price $120.91 / $194.16 / $346.21	Professional		$120.91	$194.16	$346.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.43 / $74.47 / $114.16	Professional	26	$30.43	$74.47	$114.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.06 / $104.48 / $212.36	Professional	TC	$65.06	$104.48	$212.36