Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $26.92 / $117.49	Professional		$8.91	$26.92	$117.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.88 / $6.03 / $10.72	Professional	26	$2.88	$6.03	$10.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.08 / $10.96 / $23.44	Professional	TC	$7.08	$10.96	$23.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $1.95 / $7.76 / $10.00	Professional	26	$1.95	$7.76	$10.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.99 / $23.99	Professional		$16.22	$23.99	$23.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.37 / $6.46 / $6.61	Professional	26	$4.37	$6.46	$6.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.75 / $17.38 / $17.78	Professional	TC	$11.75	$17.38	$17.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $26.92 / $36.31	Professional		$11.48	$26.92	$36.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.72 / $7.94 / $9.77	Professional	26	$3.72	$7.94	$9.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $7.76 / $19.05 / $26.92	Professional	TC	$7.76	$19.05	$26.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $31.62 / $43.65	Facility		$9.77	$31.62	$43.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $20.42 / $123.03	Professional		$13.18	$20.42	$123.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $3.98 / $7.41 / $12.30	Professional	26	$3.98	$7.41	$12.30
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $6.03 / $10.72 / $97.72	Professional	TC	$6.03	$10.72	$97.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.84 / $37.15	Professional		$24.55	$28.84	$37.15
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $7.94 / $10.00	Professional	26	$7.24	$7.94	$10.00
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $21.38 / $26.92	Professional	TC	$17.38	$21.38	$26.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $36.31 / $37.15	Professional		$33.88	$36.31	$37.15
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $9.55 / $10.00	Professional	26	$9.55	$9.55	$10.00
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $26.92 / $26.92	Professional	TC	$23.99	$26.92	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.79 / $34.67	Professional		$13.49	$14.79	$34.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.80 / $4.27 / $8.51	Professional	26	$3.80	$4.27	$8.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.33 / $10.72 / $25.70	Professional	TC	$9.33	$10.72	$25.70