Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.19 / $142.36 / $190.73	Facility	26	$58.19	$142.36	$190.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.18 / $100.98 / $396.00	Professional		$93.18	$100.98	$396.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.19 / $68.94 / $268.00	Professional	26	$58.19	$68.94	$268.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.51 / $42.79 / $95.54	Professional	TC	$30.51	$42.79	$95.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $114.66 / $114.66 / $134.88	Professional	26	$114.66	$114.66	$134.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.56 / $159.62 / $217.19	Professional		$95.56	$159.62	$217.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.10 / $92.04 / $125.23	Professional	26	$55.10	$92.04	$125.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.46 / $67.56 / $91.95	Professional	TC	$40.46	$67.56	$91.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.97 / $201.49 / $249.42	Professional		$113.97	$201.49	$249.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.34 / $126.50 / $153.54	Professional	26	$78.34	$126.50	$153.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.11 / $69.09 / $105.69	Professional	TC	$39.11	$69.09	$105.69
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $140.60 / $284.70 / $284.70	Facility	26	$140.60	$284.70	$284.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.87 / $185.09 / $865.60	Professional		$151.87	$185.09	$865.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $99.22 / $124.02 / $382.35	Professional	26	$99.22	$124.02	$382.35
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $45.33 / $62.53 / $307.58	Professional	TC	$45.33	$62.53	$307.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $135.60 / $199.16 / $257.67	Professional		$135.60	$199.16	$257.67
United Facility/Professional Professional Modifier Low / Median / High Price $156.62 / $206.00 / $253.46	Professional		$156.62	$206.00	$253.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.32 / $131.90 / $152.69	Professional	26	$102.32	$131.90	$152.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.43 / $69.76 / $112.28	Professional	TC	$52.43	$69.76	$112.28