Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.56 / $87.47 / $117.22	Facility	26	$35.56	$87.47	$117.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $79.54 / $259.00	Professional		$61.28	$79.54	$259.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.23 / $38.71 / $172.11	Professional	26	$30.23	$38.71	$172.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.05 / $39.69 / $88.65	Professional	TC	$21.05	$39.69	$88.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.50 / $145.50 / $171.27	Professional		$145.50	$145.50	$171.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.29 / $64.72 / $82.14	Professional	26	$53.29	$64.72	$82.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $118.97 / $161.88	Professional		$71.23	$118.97	$161.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.72 / $56.34 / $76.65	Professional	26	$33.72	$56.34	$76.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.50 / $62.63 / $85.21	Professional	TC	$37.50	$62.63	$85.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.95 / $148.62 / $185.87	Professional		$85.95	$148.62	$185.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.75 / $77.38 / $94.22	Professional	26	$47.75	$77.38	$94.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.35 / $64.02 / $98.03	Professional	TC	$28.35	$64.02	$98.03
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $85.71 / $174.72 / $174.72	Facility	26	$85.71	$174.72	$174.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.36 / $129.60 / $568.04	Professional		$104.36	$129.60	$568.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.69 / $74.00 / $236.22	Professional	26	$60.69	$74.00	$236.22
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $35.13 / $54.50 / $285.88	Professional	TC	$35.13	$54.50	$285.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $131.29 / $191.88	Professional		$87.18	$131.29	$191.88
United Facility/Professional Professional Modifier Low / Median / High Price $104.36 / $134.78 / $188.88	Professional		$104.36	$134.78	$188.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.69 / $81.15 / $93.31	Professional	26	$60.69	$81.15	$93.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.94 / $59.05 / $94.66	Professional	TC	$38.94	$59.05	$94.66