Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $103.05 / $555.22 / $935.86	Facility	26	$103.05	$555.22	$935.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.79 / $475.00 / $2,843.42	Professional		$438.79	$475.00	$2,843.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.05 / $239.17 / $322.00	Professional	26	$103.05	$239.17	$322.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $335.74 / $2,207.44	Professional	TC	$335.00	$335.74	$2,207.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $103.75 / $103.75 / $103.75	Professional	26	$103.75	$103.75	$103.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $825.74 / $882.62 / $908.29	Professional		$825.74	$882.62	$908.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $188.16 / $201.12 / $211.53	Professional	26	$188.16	$201.12	$211.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $637.58 / $681.50 / $698.53	Professional	TC	$637.58	$681.50	$698.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $593.52 / $593.52 / $593.52	Facility	26	$593.52	$593.52	$593.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.00 / $1,057.40 / $1,612.15	Professional		$575.00	$1,057.40	$1,612.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $135.65 / $235.53 / $303.49	Professional	26	$135.65	$235.53	$303.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $432.24 / $816.68 / $1,249.86	Professional	TC	$432.24	$816.68	$1,249.86
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,000.96 / $1,000.96 / $1,000.96	Facility	26	$1,000.96	$1,000.96	$1,000.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $773.69 / $1,065.80 / $5,967.97	Professional		$773.69	$1,065.80	$5,967.97
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $130.52 / $218.47 / $937.83	Professional	26	$130.52	$218.47	$937.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $609.15 / $893.42 / $5,400.50	Professional	TC	$609.15	$893.42	$5,400.50
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $344.01 / $354.03 / $593.52	Facility	26	$344.01	$354.03	$593.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $894.27 / $1,097.17 / $1,612.15	Professional		$894.27	$1,097.17	$1,612.15
United Facility/Professional Professional Modifier Low / Median / High Price $618.95 / $1,035.15 / $1,289.48	Professional		$618.95	$1,035.15	$1,289.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $130.52 / $218.47 / $274.23	Professional	26	$130.52	$218.47	$274.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $609.15 / $858.97 / $1,015.25	Professional	TC	$609.15	$858.97	$1,015.25