Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.82 / $293.85 / $495.30	Facility	26	$54.82	$293.85	$495.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.01 / $475.00 / $1,392.33	Professional		$210.01	$475.00	$1,392.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.82 / $134.87 / $322.00	Professional	26	$54.82	$134.87	$322.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $155.19 / $168.73 / $1,088.60	Professional	TC	$155.19	$168.73	$1,088.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.40 / $75.40 / $127.58	Professional	26	$75.40	$75.40	$127.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.14 / $409.54 / $434.72	Professional		$383.14	$409.54	$434.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $99.85 / $106.73 / $112.59	Professional	26	$99.85	$106.73	$112.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $283.29 / $302.80 / $321.24	Professional	TC	$283.29	$302.80	$321.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $315.00 / $315.00 / $315.00	Facility	26	$315.00	$315.00	$315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.21 / $489.20 / $744.94	Professional		$362.21	$489.20	$744.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.25 / $125.36 / $161.93	Professional	26	$72.25	$125.36	$161.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $267.04 / $361.13 / $643.00	Professional	TC	$267.04	$361.13	$643.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $530.79 / $530.79 / $530.79	Facility	26	$530.79	$530.79	$530.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $344.19 / $573.65 / $2,961.02	Professional		$344.19	$573.65	$2,961.02
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $68.84 / $116.22 / $505.24	Professional	26	$68.84	$116.22	$505.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $256.18 / $426.97 / $2,631.72	Professional	TC	$256.18	$426.97	$2,631.72
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $185.02 / $190.41 / $315.00	Facility	26	$185.02	$190.41	$315.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $414.95 / $585.15 / $856.15	Professional		$414.95	$585.15	$856.15
United Facility/Professional Professional Modifier Low / Median / High Price $317.37 / $529.94 / $676.27	Professional		$317.37	$529.94	$676.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.84 / $114.41 / $146.68	Professional	26	$68.84	$114.41	$146.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $204.95 / $347.69 / $547.47	Professional	TC	$204.95	$347.69	$547.47