Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $89.13 / $158.49	Professional		$57.54	$89.13	$158.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $58.88 / $158.49	Professional	26	$38.02	$58.88	$158.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.20 / $51.29	Professional	TC	$19.05	$30.20	$51.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $27.54 / $28.84	Professional	26	$27.54	$27.54	$28.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $141.25	Professional		$95.50	$141.25	$141.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $93.33 / $93.33	Professional	26	$63.10	$93.33	$93.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $47.86 / $47.86	Professional	TC	$32.36	$47.86	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $158.49 / $208.93	Professional		$66.07	$158.49	$208.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $114.82 / $138.04	Professional	26	$48.98	$114.82	$138.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $52.48 / $72.44	Professional	TC	$22.39	$52.48	$72.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $91.20 / $588.84	Professional		$83.18	$91.20	$588.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $63.10 / $380.19	Professional	26	$53.70	$63.10	$380.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $29.51 / $204.17	Professional	TC	$14.45	$29.51	$204.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $218.78	Professional		$158.49	$158.49	$218.78
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $114.82 / $144.54	Professional	26	$104.71	$114.82	$144.54
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $54.95 / $72.44	Professional	TC	$42.66	$54.95	$72.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $218.78	Professional		$204.17	$204.17	$218.78
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $138.04 / $144.54	Professional	26	$134.90	$138.04	$144.54
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $69.18 / $72.44	Professional	TC	$69.18	$69.18	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $89.13 / $173.78	Professional		$83.18	$89.13	$173.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $63.10 / $125.89	Professional	26	$56.23	$63.10	$125.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $26.92 / $47.86	Professional	TC	$23.99	$26.92	$47.86