Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $52.48 / $93.33	Professional		$19.05	$52.48	$93.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $10.96 / $24.55	Professional	26	$5.01	$10.96	$24.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $25.12 / $48.98	Professional	TC	$15.14	$25.12	$48.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $75.86	Professional		$14.79	$14.79	$75.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $10.72 / $13.18	Professional	26	$3.02	$10.72	$13.18
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 $33.88 / $50.12 / $50.12	Professional		$33.88	$50.12	$50.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $10.23 / $10.23	Professional	26	$6.92	$10.23	$10.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $39.81 / $39.81	Professional	TC	$26.92	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $52.48 / $74.13	Professional		$25.12	$52.48	$74.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $12.30 / $15.14	Professional	26	$5.62	$12.30	$15.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $39.81 / $58.88	Professional	TC	$19.95	$39.81	$58.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $63.10 / $89.13	Facility		$19.95	$63.10	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $42.66 / $263.03	Professional		$27.54	$42.66	$263.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $11.75 / $19.50	Professional	26	$6.31	$11.75	$19.50
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $23.99 / $223.87	Professional	TC	$13.18	$23.99	$223.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $58.88 / $77.62	Professional		$51.29	$58.88	$77.62
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $12.30 / $15.85	Professional	26	$11.48	$12.30	$15.85
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $46.77 / $61.66	Professional	TC	$39.81	$46.77	$61.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $74.13 / $77.62	Professional		$70.79	$74.13	$77.62
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $14.79 / $15.85	Professional	26	$14.79	$14.79	$15.85
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $58.88 / $61.66	Professional	TC	$54.95	$58.88	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $30.20 / $75.86	Professional		$27.54	$30.20	$75.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $6.76 / $13.49	Professional	26	$6.03	$6.76	$13.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $23.99 / $58.88	Professional	TC	$20.89	$23.99	$58.88