Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $165.96	Professional		$67.61	$67.61	$165.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $35.48 / $46.77	Professional	26	$19.05	$35.48	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $107.15	Professional		$87.10	$87.10	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $23.44 / $28.84	Professional	26	$23.44	$23.44	$28.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $63.10 / $79.43	Professional	TC	$63.10	$63.10	$79.43
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $104.71 / $104.71	Facility	26	$104.71	$104.71	$104.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $467.74	Professional		$85.11	$123.03	$467.74
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $32.36 / $125.89	Professional	26	$22.91	$32.36	$125.89
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $102.33 / $338.84	Professional	TC	$60.26	$102.33	$338.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $117.49 / $181.97	Professional		$109.65	$117.49	$181.97
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $33.88 / $51.29	Professional	26	$30.20	$33.88	$51.29
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $85.11 / $128.82	Professional	TC	$79.43	$85.11	$128.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $173.78	Professional		$169.82	$169.82	$173.78
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $46.77 / $48.98	Professional	26	$46.77	$46.77	$48.98
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $123.03 / $125.89	Professional	TC	$123.03	$123.03	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $177.83	Professional		$85.11	$123.03	$177.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $29.51 / $50.12	Professional	26	$22.91	$29.51	$50.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $97.72 / $125.89	Professional	TC	$60.26	$97.72	$125.89