Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $426.58 / $812.83	Facility		$134.90	$426.58	$812.83
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $75.86 / $75.86	Facility	26	$33.88	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $83.18 / $251.19	Professional		$30.20	$83.18	$251.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $58.88 / $169.82	Professional	26	$30.90	$58.88	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $47.86 / $165.96	Professional	TC	$25.12	$47.86	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $64.57	Professional		$28.18	$40.74	$64.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $42.66 / $67.61	Professional	26	$29.51	$42.66	$67.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $851.14 / $1,659.59	Facility		$660.69	$851.14	$1,659.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $131.83	Professional		$57.54	$97.72	$131.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $56.23 / $74.13	Professional	26	$33.11	$56.23	$74.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $43.65 / $57.54	Professional	TC	$24.55	$43.65	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $151.36 / $229.09	Professional		$85.11	$151.36	$229.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $85.11 / $128.82	Professional	26	$46.77	$85.11	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $67.61 / $204.17	Professional	TC	$38.02	$67.61	$204.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $134.90 / $1,778.28	Facility		$66.07	$134.90	$1,778.28
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $323.59 / $323.59 / $323.59	Facility	26	$323.59	$323.59	$323.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $154.88 / $1,318.26	Professional		$85.11	$154.88	$1,318.26
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $89.13 / $630.96	Professional	26	$50.12	$89.13	$630.96
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $66.07 / $870.96	Professional	TC	$36.31	$66.07	$870.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $154.88 / $199.53	Professional		$125.89	$154.88	$199.53
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $89.13 / $114.82	Professional	26	$70.79	$89.13	$114.82
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $67.61 / $85.11	Professional	TC	$53.70	$67.61	$85.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $141.25 / $199.53	Professional		$85.11	$141.25	$199.53
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $81.28 / $114.82	Professional	26	$46.77	$81.28	$114.82
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $61.66 / $85.11	Professional	TC	$38.02	$61.66	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,230.27 / $4,466.84	Facility		$158.49	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $144.54 / $380.19	Professional		$85.11	$144.54	$380.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $83.18 / $141.25	Professional	26	$46.77	$83.18	$141.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $60.26 / $239.88	Professional	TC	$36.31	$60.26	$239.88