Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $30.20 / $44.67	Facility	26	$19.50	$30.20	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $48.98 / $87.10	Professional		$28.18	$48.98	$87.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.85 / $74.13	Professional	26	$12.88	$15.85	$74.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $32.36 / $57.54	Professional	TC	$12.02	$32.36	$57.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $27.54 / $32.36	Professional	26	$27.54	$27.54	$32.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $66.07 / $91.20	Professional		$38.90	$66.07	$91.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $21.88 / $30.20	Professional	26	$13.49	$21.88	$30.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $43.65 / $61.66	Professional	TC	$26.92	$43.65	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $85.11 / $107.15	Professional		$39.81	$85.11	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $30.20 / $38.02	Professional	26	$17.78	$30.20	$38.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $47.86 / $72.44	Professional	TC	$17.78	$47.86	$72.44
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $79.43 / $79.43	Facility	26	$33.88	$79.43	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $67.61 / $309.03	Professional		$41.69	$67.61	$309.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $29.51 / $93.33	Professional	26	$22.91	$29.51	$93.33
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $40.74 / $213.80	Professional	TC	$17.78	$40.74	$213.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $67.61 / $104.71	Professional		$21.88	$67.61	$104.71
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $30.20 / $39.81	Professional	26	$23.44	$30.20	$39.81
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $38.02 / $70.79	Professional	TC	$30.20	$38.02	$70.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $100.00 / $104.71	Professional		$36.31	$100.00	$104.71
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $32.36 / $36.31	Professional	26	$19.05	$32.36	$36.31
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $66.07 / $70.79	Professional	TC	$17.78	$66.07	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $67.61 / $107.15	Professional		$41.69	$67.61	$107.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $28.84 / $39.81	Professional	26	$22.39	$28.84	$39.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $40.74 / $72.44	Professional	TC	$18.62	$40.74	$72.44