Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.35 / $37.65 / $102.11	Facility	26	$11.35	$37.65	$102.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.33 / $120.97 / $184.58	Professional		$90.33	$120.97	$184.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.35 / $11.35 / $69.97	Professional	26	$11.35	$11.35	$69.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $78.98 / $78.98 / $460.75	Professional	TC	$78.98	$78.98	$460.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.63 / $15.63 / $21.16	Professional	26	$15.63	$15.63	$21.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.30 / $183.09 / $187.68	Professional		$171.30	$183.09	$187.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $22.34 / $23.10	Professional	26	$20.89	$22.34	$23.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $150.40 / $160.75 / $164.78	Professional	TC	$150.40	$160.75	$164.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.94 / $65.94 / $65.94	Facility	26	$65.94	$65.94	$65.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.21 / $194.84 / $295.74	Professional		$127.21	$194.84	$295.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.77 / $26.07 / $32.97	Professional	26	$14.77	$26.07	$32.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.44 / $168.78 / $262.77	Professional	TC	$112.44	$168.78	$262.77
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $110.80 / $110.80 / $110.80	Facility	26	$110.80	$110.80	$110.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $207.25 / $876.62	Professional		$137.80	$207.25	$876.62
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.28 / $24.06 / $270.04	Professional	26	$14.28	$24.06	$270.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $122.11 / $183.19 / $820.61	Professional	TC	$122.11	$183.19	$820.61
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $65.94 / $468.16 / $481.79	Facility	26	$65.94	$468.16	$481.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $136.60 / $187.31 / $243.15	Professional		$136.60	$187.31	$243.15
United Facility/Professional Professional Modifier Low / Median / High Price $134.96 / $206.70 / $257.69	Professional		$134.96	$206.70	$257.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.28 / $23.54 / $30.00	Professional	26	$14.28	$23.54	$30.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $112.72 / $183.16 / $234.82	Professional	TC	$112.72	$183.16	$234.82