Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.56 / $429.44 / $819.68	Facility		$59.56	$429.44	$819.68
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.40 / $34.40 / $34.40	Facility	26	$34.40	$34.40	$34.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.78 / $102.71 / $253.00	Professional		$29.78	$102.71	$253.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.40 / $74.81 / $170.30	Professional	26	$34.40	$74.81	$170.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.15 / $60.00 / $157.97	Professional	TC	$25.15	$60.00	$157.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $59.63 / $59.63	Professional		$59.63	$59.63	$59.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $668.15 / $864.58 / $1,355.27	Facility		$668.15	$864.58	$1,355.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.74 / $98.37 / $135.77	Professional		$59.74	$98.37	$135.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.31 / $56.21 / $77.98	Professional	26	$34.31	$56.21	$77.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.23 / $42.17 / $57.32	Professional	TC	$25.23	$42.17	$57.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.26 / $149.44 / $198.13	Professional		$120.26	$149.44	$198.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.72 / $85.40 / $115.11	Professional	26	$68.72	$85.40	$115.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.54 / $65.44 / $84.46	Professional	TC	$51.54	$65.44	$84.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.08 / $110.19 / $600.16	Facility		$62.08	$110.19	$600.16
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $323.94 / $323.94 / $323.94	Facility	26	$323.94	$323.94	$323.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $153.84 / $1,317.18	Professional		$85.59	$153.84	$1,317.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.41 / $88.88 / $638.00	Professional	26	$51.41	$88.88	$638.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $37.35 / $64.95 / $870.88	Professional	TC	$37.35	$64.95	$870.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.76 / $120.26 / $198.56	Facility		$43.76	$120.26	$198.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $115.61 / $156.12 / $373.46	Professional		$115.61	$156.12	$373.46
United Facility/Professional Facility Modifier Low / Median / High Price $121.98 / $1,242.00 / $4,406.00	Facility		$121.98	$1,242.00	$4,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $147.75 / $379.14	Professional		$85.59	$147.75	$379.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.57 / $82.62 / $141.60	Professional	26	$49.57	$82.62	$141.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.02 / $62.18 / $227.74	Professional	TC	$36.02	$62.18	$227.74