Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $173.78 / $263.03 / $776.25	Facility	26	$173.78	$263.03	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $323.59 / $1,174.90	Professional		$204.17	$323.59	$1,174.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $120.23 / $407.38	Professional	26	$77.62	$120.23	$407.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $95.50 / $194.98	Professional	26	$64.57	$95.50	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $478.63 / $512.86	Professional		$457.09	$478.63	$512.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $158.49 / $169.82	Professional	26	$147.91	$158.49	$169.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $467.74 / $467.74 / $467.74	Facility	26	$467.74	$467.74	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $616.60 / $912.01	Professional		$275.42	$616.60	$912.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $162.18 / $245.47	Professional	26	$77.62	$162.18	$245.47
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	26	$794.33	$794.33	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $588.84 / $2,884.03	Professional		$371.54	$588.84	$2,884.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $165.96 / $537.03	Professional	26	$104.71	$165.96	$537.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $575.44 / $912.01	Professional		$501.19	$575.44	$912.01
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $162.18 / $186.21 / $288.40	Professional	26	$162.18	$186.21	$288.40
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $467.74 / $467.74 / $467.74	Facility	26	$467.74	$467.74	$467.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $676.08 / $912.01	Professional		$562.34	$676.08	$912.01
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $173.78 / $288.40	Professional	26	$131.83	$173.78	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $562.34 / $794.33	Professional		$338.84	$562.34	$794.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $158.49 / $213.80	Professional	26	$91.20	$158.49	$213.80