Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.75 / $103.78 / $139.08	Facility	26	$34.75	$103.78	$139.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.28 / $68.56 / $148.94	Professional		$65.28	$68.56	$148.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.75 / $44.21 / $191.66	Professional	26	$34.75	$44.21	$191.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.05 / $33.81 / $75.54	Professional	TC	$21.05	$33.81	$75.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.69 / $132.69 / $132.69	Professional		$132.69	$132.69	$132.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.03 / $108.62 / $147.80	Professional		$65.03	$108.62	$147.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.89 / $54.93 / $74.73	Professional	26	$32.89	$54.93	$74.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.15 / $53.71 / $73.06	Professional	TC	$32.15	$53.71	$73.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.13 / $141.15 / $169.37	Professional		$78.13	$141.15	$169.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.33 / $75.23 / $97.00	Professional	26	$50.33	$75.23	$97.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.35 / $55.10 / $83.51	Professional	TC	$28.35	$55.10	$83.51
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $83.68 / $176.34 / $176.34	Facility	26	$83.68	$176.34	$176.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.64 / $128.58 / $568.04	Professional		$100.64	$128.58	$568.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $59.01 / $74.65 / $234.92	Professional	26	$59.01	$74.65	$234.92
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $33.90 / $49.44 / $244.63	Professional	TC	$33.90	$49.44	$244.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.92 / $129.53 / $175.39	Professional		$97.92	$129.53	$175.39
United Facility/Professional Professional Modifier Low / Median / High Price $103.68 / $133.97 / $178.25	Professional		$103.68	$133.97	$178.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.86 / $81.88 / $91.19	Professional	26	$60.86	$81.88	$91.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.61 / $49.44 / $80.66	Professional	TC	$37.61	$49.44	$80.66