Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.39 / $152.16 / $412.34	Facility	26	$45.39	$152.16	$412.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $120.64 / $398.63	Professional		$47.63	$120.64	$398.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.39 / $106.41 / $232.72	Professional	26	$45.39	$106.41	$232.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.55 / $206.54 / $648.75	Professional	TC	$97.55	$206.54	$648.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $342.61 / $342.61 / $342.61	Professional		$342.61	$342.61	$342.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.74 / $86.84 / $105.80	Professional	26	$35.74	$86.84	$105.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.61 / $283.89 / $295.88	Professional		$265.61	$283.89	$295.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.23 / $88.95 / $93.56	Professional	26	$83.23	$88.95	$93.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $182.38 / $194.94 / $201.93	Professional	TC	$182.38	$194.94	$201.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $262.50 / $262.50 / $262.50	Facility	26	$262.50	$262.50	$262.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.23 / $349.18 / $479.96	Professional		$201.23	$349.18	$479.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.42 / $104.45 / $133.81	Professional	26	$60.42	$104.45	$133.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $140.82 / $242.98 / $348.00	Professional	TC	$140.82	$242.98	$348.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $442.24 / $442.24 / $442.24	Facility	26	$442.24	$442.24	$442.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $217.01 / $333.86 / $1,378.78	Professional		$217.01	$333.86	$1,378.78
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $62.60 / $96.23 / $300.10	Professional	26	$62.60	$96.23	$300.10
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $153.66 / $237.63 / $1,103.98	Professional	TC	$153.66	$237.63	$1,103.98
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $156.78 / $161.34 / $262.50	Facility	26	$156.78	$161.34	$262.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $287.66 / $357.48 / $477.00	Professional		$287.66	$357.48	$477.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.32 / $333.30 / $405.81	Professional		$200.32	$333.30	$405.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.48 / $95.02 / $118.47	Professional	26	$58.48	$95.02	$118.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $153.66 / $237.63 / $295.50	Professional	TC	$153.66	$237.63	$295.50