Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.57 / $130.94 / $175.49	Facility	26	$53.57	$130.94	$175.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.62 / $93.57 / $357.00	Professional		$83.62	$93.57	$357.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.57 / $63.15 / $230.00	Professional	26	$53.57	$63.15	$230.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.10 / $40.00 / $86.15	Professional	TC	$25.10	$40.00	$86.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.79 / $181.79 / $181.79	Professional		$181.79	$181.79	$181.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $124.12 / $124.12 / $132.99	Professional	26	$124.12	$124.12	$132.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.46 / $147.75 / $201.06	Professional		$88.46	$147.75	$201.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.68 / $84.64 / $115.19	Professional	26	$50.68	$84.64	$115.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.79 / $63.13 / $85.90	Professional	TC	$37.79	$63.13	$85.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $184.79 / $231.12	Professional		$105.74	$184.79	$231.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.97 / $116.47 / $141.32	Professional	26	$71.97	$116.47	$141.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.99 / $64.68 / $98.80	Professional	TC	$33.99	$64.68	$98.80
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $129.41 / $248.27 / $248.27	Facility	26	$129.41	$248.27	$248.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $168.08 / $746.58	Professional		$135.41	$168.08	$746.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $91.34 / $114.18 / $352.29	Professional	26	$91.34	$114.18	$352.29
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $40.35 / $58.16 / $288.04	Professional	TC	$40.35	$58.16	$288.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $122.28 / $184.10 / $229.12	Professional		$122.28	$184.10	$229.12
United Facility/Professional Professional Modifier Low / Median / High Price $140.32 / $175.40 / $234.86	Professional		$140.32	$175.40	$234.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $94.20 / $127.76 / $140.57	Professional	26	$94.20	$127.76	$140.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.09 / $61.33 / $100.40	Professional	TC	$46.09	$61.33	$100.40