Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $31.08 / $31.08	Facility		$31.08	$31.08	$31.08
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.21 / $15.21 / $15.21	Facility	26	$15.21	$15.21	$15.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $31.08 / $74.64	Professional		$27.91	$31.08	$74.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.70 / $15.21 / $22.87	Professional	26	$13.70	$15.21	$22.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.96 / $15.87 / $23.81	Professional	TC	$13.96	$15.87	$23.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.27 / $73.27 / $73.27	Professional		$73.27	$73.27	$73.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.19 / $131.19 / $131.19	Facility		$131.19	$131.19	$131.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.30 / $50.25 / $71.15	Professional		$31.30	$50.25	$71.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $24.30 / $34.42	Professional	26	$15.14	$24.30	$34.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.14 / $25.94 / $36.71	Professional	TC	$16.14	$25.94	$36.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.70 / $64.65 / $84.98	Professional		$26.70	$64.65	$84.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.89 / $31.61 / $42.08	Professional	26	$12.89	$31.61	$42.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.91 / $33.65 / $42.90	Professional	TC	$13.91	$33.65	$42.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.42 / $52.53 / $72.98	Facility		$26.42	$52.53	$72.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $63.32 / $354.38	Professional		$34.11	$63.32	$354.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.94 / $25.36 / $98.32	Professional	26	$14.94	$25.36	$98.32
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.17 / $28.37 / $180.44	Professional	TC	$18.17	$28.37	$180.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $62.71 / $69.88 / $90.00	Facility		$62.71	$69.88	$90.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.07 / $68.95 / $89.26	Professional		$50.07	$68.95	$89.26
United Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $50.70 / $77.73	Professional		$30.03	$50.70	$77.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.82 / $22.19 / $38.88	Professional	26	$13.82	$22.19	$38.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.21 / $25.34 / $39.45	Professional	TC	$16.21	$25.34	$39.45