Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.27 / $294.50 / $496.40	Facility	26	$68.27	$294.50	$496.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.42 / $357.43 / $1,594.30	Professional		$239.42	$357.43	$1,594.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.27 / $133.96 / $322.00	Professional	26	$68.27	$133.96	$322.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $171.15 / $171.15 / $1,170.11	Professional	TC	$171.15	$171.15	$1,170.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.86 / $53.86 / $53.86	Professional	26	$53.86	$53.86	$53.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.06 / $467.16 / $495.60	Professional		$437.06	$467.16	$495.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $122.69 / $132.50 / $137.19	Professional	26	$122.69	$132.50	$137.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $311.83 / $333.31 / $354.27	Professional	TC	$311.83	$333.31	$354.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $394.98 / $394.98 / $394.98	Facility	26	$394.98	$394.98	$394.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.40 / $557.75 / $849.10	Professional		$380.40	$557.75	$849.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.43 / $156.75 / $200.71	Professional	26	$88.43	$156.75	$200.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $286.99 / $398.20 / $643.00	Professional	TC	$286.99	$398.20	$643.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $666.24 / $666.24 / $666.24	Facility	26	$666.24	$666.24	$666.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $384.84 / $640.76 / $3,076.60	Professional		$384.84	$640.76	$3,076.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $68.84 / $144.72 / $867.00	Professional	26	$68.84	$144.72	$867.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $275.37 / $458.95 / $2,747.24	Professional	TC	$275.37	$458.95	$2,747.24
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $182.90 / $188.22 / $394.98	Facility	26	$182.90	$188.22	$394.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $473.33 / $654.46 / $926.00	Professional		$473.33	$654.46	$926.00
United Facility/Professional Professional Modifier Low / Median / High Price $384.84 / $592.53 / $650.42	Professional		$384.84	$592.53	$650.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.87 / $140.63 / $182.45	Professional	26	$76.87	$140.63	$182.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $275.37 / $404.92 / $604.61	Professional	TC	$275.37	$404.92	$604.61