Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.59 / $221.99 / $601.55	Facility	26	$66.59	$221.99	$601.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.12 / $384.08 / $1,714.76	Professional		$279.12	$384.08	$1,714.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.59 / $162.34 / $200.20	Professional	26	$66.59	$162.34	$200.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $212.52 / $231.07 / $1,346.53	Professional	TC	$212.52	$231.07	$1,346.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $117.72 / $117.72 / $117.72	Professional	26	$117.72	$117.72	$117.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $527.66 / $564.01 / $578.12	Professional		$527.66	$564.01	$578.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $121.58 / $129.96 / $136.38	Professional	26	$121.58	$129.96	$136.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $406.08 / $434.06 / $444.91	Professional	TC	$406.08	$434.06	$444.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $383.52 / $383.52 / $383.52	Facility	26	$383.52	$383.52	$383.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $678.89 / $1,001.62	Professional		$425.00	$678.89	$1,001.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.46 / $152.21 / $195.86	Professional	26	$87.46	$152.21	$195.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $316.67 / $532.29 / $805.76	Professional	TC	$316.67	$532.29	$805.76
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $647.12 / $647.12 / $647.12	Facility	26	$647.12	$647.12	$647.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $552.92 / $740.89 / $3,077.22	Professional		$552.92	$740.89	$3,077.22
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $83.54 / $141.19 / $680.25	Professional	26	$83.54	$141.19	$680.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $446.11 / $605.39 / $2,677.57	Professional	TC	$446.11	$605.39	$2,677.57
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $222.13 / $228.60 / $383.52	Facility	26	$222.13	$228.60	$383.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $568.52 / $678.89 / $935.47	Professional		$568.52	$678.89	$935.47
United Facility/Professional Professional Modifier Low / Median / High Price $552.92 / $718.81 / $940.66	Professional		$552.92	$718.81	$940.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.54 / $141.19 / $178.03	Professional	26	$83.54	$141.19	$178.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $356.89 / $579.95 / $743.52	Professional	TC	$356.89	$579.95	$743.52