Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $251.19 / $371.54 / $1,096.48	Facility	26	$251.19	$371.54	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $2,344.23	Professional		$380.19	$478.63	$2,344.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $251.19 / $380.19	Professional	26	$123.03	$251.19	$380.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $338.84 / $645.65	Professional	TC	$239.88	$338.84	$645.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $223.87 / $288.40	Professional	26	$93.33	$223.87	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $691.83 / $741.31	Professional		$645.65	$691.83	$741.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $213.80 / $229.09 / $245.47	Professional	26	$213.80	$229.09	$245.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $389.05 / $446.68 / $616.60	Professional	TC	$389.05	$446.68	$616.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $676.08 / $676.08 / $676.08	Facility	26	$676.08	$676.08	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $870.96 / $1,096.48	Professional		$354.81	$870.96	$1,096.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $251.19 / $354.81	Professional	26	$109.65	$251.19	$354.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $562.34 / $758.58	Professional	TC	$245.47	$562.34	$758.58
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility	26	$1,148.15	$1,148.15	$1,148.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $758.58 / $3,890.45	Professional		$467.74	$758.58	$3,890.45
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $151.36 / $229.09 / $776.25	Professional	26	$151.36	$229.09	$776.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $562.34 / $3,311.31	Professional	TC	$323.59	$562.34	$3,311.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $831.76 / $1,230.27	Professional		$707.95	$831.76	$1,230.27
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $234.42 / $269.15 / $407.38	Professional	26	$234.42	$269.15	$407.38
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $478.63 / $562.34 / $831.76	Professional	TC	$478.63	$562.34	$831.76
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $676.08 / $676.08 / $676.08	Facility	26	$676.08	$676.08	$676.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,230.27	Professional		$812.83	$1,148.15	$1,230.27
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $251.19 / $275.42 / $407.38	Professional	26	$251.19	$275.42	$407.38
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $537.03 / $831.76 / $891.25	Professional	TC	$537.03	$831.76	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $741.31 / $1,023.29	Professional		$436.52	$741.31	$1,023.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $223.87 / $309.03	Professional	26	$128.82	$223.87	$309.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $512.86 / $691.83	Professional	TC	$295.12	$512.86	$691.83