Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.85 / $283.99 / $478.69	Facility	26	$52.85	$283.99	$478.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.50 / $195.97 / $516.03	Professional		$123.50	$195.97	$516.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.85 / $129.81 / $284.00	Professional	26	$52.85	$129.81	$284.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $143.12 / $143.12 / $964.24	Professional	TC	$143.12	$143.12	$964.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $273.11 / $273.11 / $273.11	Professional		$273.11	$273.11	$273.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.61 / $56.79 / $122.98	Professional	26	$40.61	$56.79	$122.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.89 / $380.42 / $405.66	Professional		$355.89	$380.42	$405.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.81 / $103.48 / $109.40	Professional	26	$96.81	$103.48	$109.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $259.11 / $276.95 / $296.25	Professional	TC	$259.11	$276.95	$296.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $305.33 / $305.33 / $305.33	Facility	26	$305.33	$305.33	$305.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.83 / $452.45 / $596.32	Professional		$249.83	$452.45	$596.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.13 / $120.45 / $156.11	Professional	26	$70.13	$120.45	$156.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $179.70 / $330.29 / $440.21	Professional	TC	$179.70	$330.29	$440.21
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $514.88 / $514.88 / $514.88	Facility	26	$514.88	$514.88	$514.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $270.14 / $415.46 / $1,627.19	Professional		$270.14	$415.46	$1,627.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $66.73 / $112.05 / $345.18	Professional	26	$66.73	$112.05	$345.18
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $196.73 / $303.41 / $1,330.47	Professional	TC	$196.73	$303.41	$1,330.47
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $180.67 / $185.93 / $305.33	Facility	26	$180.67	$185.93	$305.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $385.45 / $464.77 / $589.23	Professional		$385.45	$464.77	$589.23
United Facility/Professional Professional Modifier Low / Median / High Price $278.08 / $405.21 / $505.16	Professional		$278.08	$405.21	$505.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.73 / $108.82 / $137.28	Professional	26	$66.73	$108.82	$137.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $196.73 / $295.08 / $367.88	Professional	TC	$196.73	$295.08	$367.88