Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.73 / $525.15 / $885.18	Facility	26	$97.73	$525.15	$885.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.64 / $475.00 / $2,260.39	Professional		$331.64	$475.00	$2,260.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.68 / $227.53 / $538.00	Professional	26	$97.68	$227.53	$538.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $233.95 / $335.00 / $1,611.62	Professional	TC	$233.95	$335.00	$1,611.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.77 / $827.96 / $827.96	Professional		$269.77	$827.96	$827.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $104.79 / $179.64 / $241.47	Professional	26	$104.79	$179.64	$241.47
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $172.04 / $172.04 / $430.10	Professional	TC	$172.04	$172.04	$430.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.62 / $644.13 / $686.49	Professional		$602.62	$644.13	$686.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $178.81 / $191.13 / $202.19	Professional	26	$178.81	$191.13	$202.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $423.79 / $452.98 / $484.27	Professional	TC	$423.79	$452.98	$484.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $564.05 / $564.05 / $564.05	Facility	26	$564.05	$564.05	$564.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $766.48 / $1,167.22	Professional		$450.00	$766.48	$1,167.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.49 / $223.42 / $288.95	Professional	26	$128.49	$223.42	$288.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $356.52 / $542.65 / $887.99	Professional	TC	$356.52	$542.65	$887.99
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $950.80 / $950.80 / $950.80	Facility	26	$950.80	$950.80	$950.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $546.15 / $878.35 / $5,981.06	Professional		$546.15	$878.35	$5,981.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $123.13 / $207.08 / $883.52	Professional	26	$123.13	$207.08	$883.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $389.53 / $649.22 / $5,438.76	Professional	TC	$389.53	$649.22	$5,438.76
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $329.89 / $339.50 / $564.05	Facility	26	$329.89	$339.50	$564.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $652.63 / $831.92 / $1,436.46	Professional		$652.63	$831.92	$1,436.46
United Facility/Professional Professional Modifier Low / Median / High Price $436.92 / $840.89 / $1,265.88	Professional		$436.92	$840.89	$1,265.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $123.13 / $201.20 / $261.02	Professional	26	$123.13	$201.20	$261.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $311.63 / $599.75 / $871.00	Professional	TC	$311.63	$599.75	$871.00