Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.69 / $97.16 / $130.21	Facility	26	$39.69	$97.16	$130.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $76.29 / $144.51	Professional		$63.72	$76.29	$144.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.69 / $46.47 / $119.41	Professional	26	$39.69	$46.47	$119.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.73 / $36.60 / $81.75	Professional	TC	$21.73	$36.60	$81.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.36 / $147.36 / $147.36	Professional		$147.36	$147.36	$147.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $59.41 / $59.41 / $98.49	Professional	26	$59.41	$59.41	$98.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $119.98 / $163.27	Professional		$71.84	$119.98	$163.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.31 / $62.32 / $84.79	Professional	26	$37.31	$62.32	$84.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.53 / $57.67 / $78.48	Professional	TC	$34.53	$57.67	$78.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.72 / $149.88 / $188.44	Professional		$86.72	$149.88	$188.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.09 / $85.95 / $104.69	Professional	26	$53.09	$85.95	$104.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.38 / $59.48 / $90.40	Professional	TC	$29.38	$59.48	$90.40
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $95.51 / $190.77 / $190.77	Facility	26	$95.51	$190.77	$190.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.01 / $135.00 / $622.15	Professional		$111.01	$135.00	$622.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $67.41 / $82.15 / $262.07	Professional	26	$67.41	$82.15	$262.07
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $36.79 / $51.96 / $264.17	Professional	TC	$36.79	$51.96	$264.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $94.75 / $142.58 / $186.04	Professional		$94.75	$142.58	$186.04
United Facility/Professional Professional Modifier Low / Median / High Price $111.01 / $137.80 / $191.49	Professional		$111.01	$137.80	$191.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.88 / $89.49 / $104.15	Professional	26	$68.88	$89.49	$104.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.04 / $54.56 / $91.87	Professional	TC	$39.04	$54.56	$91.87