Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.02 / $441.60 / $744.35	Facility	26	$82.02	$441.60	$744.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.08 / $494.18 / $2,264.53	Professional		$336.08	$494.18	$2,264.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.02 / $191.56 / $461.00	Professional	26	$82.02	$191.56	$461.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $254.06 / $276.27 / $1,754.11	Professional	TC	$254.06	$276.27	$1,754.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $144.84 / $150.32 / $190.76	Professional	26	$144.84	$150.32	$190.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $613.16 / $655.41 / $695.69	Professional		$613.16	$655.41	$695.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $149.80 / $160.12 / $168.46	Professional	26	$149.80	$160.12	$168.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $463.38 / $495.30 / $525.89	Professional	TC	$463.38	$495.30	$525.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $472.50 / $472.50 / $472.50	Facility	26	$472.50	$472.50	$472.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $554.16 / $782.03 / $1,224.07	Professional		$554.16	$782.03	$1,224.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.14 / $188.12 / $241.44	Professional	26	$108.14	$188.12	$241.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $402.50 / $590.50 / $1,091.34	Professional	TC	$402.50	$590.50	$1,091.34
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $796.16 / $796.16 / $796.16	Facility	26	$796.16	$796.16	$796.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $544.58 / $907.63 / $5,311.18	Professional		$544.58	$907.63	$5,311.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $103.30 / $173.88 / $808.00	Professional	26	$103.30	$173.88	$808.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $412.82 / $688.03 / $4,858.99	Professional	TC	$412.82	$688.03	$4,858.99
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $273.87 / $281.83 / $472.50	Facility	26	$273.87	$281.83	$472.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $664.06 / $946.67 / $1,397.68	Professional		$664.06	$946.67	$1,397.68
United Facility/Professional Professional Modifier Low / Median / High Price $544.58 / $882.57 / $1,092.46	Professional		$544.58	$882.57	$1,092.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $103.30 / $173.88 / $219.60	Professional	26	$103.30	$173.88	$219.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $412.82 / $607.02 / $925.46	Professional	TC	$412.82	$607.02	$925.46