Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.97 / $360.51 / $607.66	Facility	26	$66.97	$360.51	$607.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.27 / $475.00 / $1,756.08	Professional		$259.27	$475.00	$1,756.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.97 / $154.00 / $177.64	Professional	26	$66.97	$154.00	$177.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $192.31 / $192.31 / $1,347.66	Professional	TC	$192.31	$192.31	$1,347.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $118.38 / $166.20 / $166.20	Professional	26	$118.38	$166.20	$166.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $469.31 / $501.63 / $536.71	Professional		$469.31	$501.63	$536.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $122.81 / $131.28 / $137.77	Professional	26	$122.81	$131.28	$137.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $346.49 / $370.36 / $398.07	Professional	TC	$346.49	$370.36	$398.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $387.42 / $387.42 / $387.42	Facility	26	$387.42	$387.42	$387.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.68 / $601.83 / $897.00	Professional		$351.68	$601.83	$897.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.32 / $153.77 / $196.83	Professional	26	$88.32	$153.77	$196.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $263.36 / $448.06 / $667.94	Professional	TC	$263.36	$448.06	$667.94
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $653.60 / $653.60 / $653.60	Facility	26	$653.60	$653.60	$653.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $431.00 / $575.30 / $2,872.81	Professional		$431.00	$575.30	$2,872.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $84.89 / $141.97 / $548.98	Professional	26	$84.89	$141.97	$548.98
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $323.10 / $466.54 / $2,498.98	Professional	TC	$323.10	$466.54	$2,498.98
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $223.90 / $230.42 / $387.42	Facility	26	$223.90	$230.42	$387.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $508.26 / $644.59 / $880.00	Professional		$508.26	$644.59	$880.00
United Facility/Professional Professional Modifier Low / Median / High Price $344.80 / $560.29 / $755.48	Professional		$344.80	$560.29	$755.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.32 / $141.97 / $179.83	Professional	26	$86.32	$141.97	$179.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $323.10 / $420.03 / $538.50	Professional	TC	$323.10	$420.03	$538.50