Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.57 / $629.77 / $1,061.53	Facility	26	$117.57	$629.77	$1,061.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.91 / $475.00 / $2,372.59	Professional		$356.91	$475.00	$2,372.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.57 / $264.16 / $629.00	Professional	26	$117.57	$264.16	$629.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $239.34 / $335.00 / $827.87	Professional	TC	$239.34	$335.00	$827.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $126.08 / $225.14 / $274.29	Professional	26	$126.08	$225.14	$274.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $648.35 / $693.01 / $738.79	Professional		$648.35	$693.01	$738.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $215.41 / $230.25 / $243.37	Professional	26	$215.41	$230.25	$243.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $432.94 / $462.75 / $495.43	Professional	TC	$432.94	$462.75	$495.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $679.50 / $679.50 / $679.50	Facility	26	$679.50	$679.50	$679.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $480.12 / $833.37 / $1,148.00	Professional		$480.12	$833.37	$1,148.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $153.38 / $269.85 / $347.13	Professional	26	$153.38	$269.85	$347.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $326.73 / $563.52 / $829.85	Professional	TC	$326.73	$563.52	$829.85
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,142.00 / $1,142.00 / $1,142.00	Facility	26	$1,142.00	$1,142.00	$1,142.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $590.69 / $780.65 / $3,919.13	Professional		$590.69	$780.65	$3,919.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $149.88 / $249.25 / $771.93	Professional	26	$149.88	$249.25	$771.93
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $403.32 / $565.12 / $3,292.02	Professional	TC	$403.32	$565.12	$3,292.02
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $400.06 / $411.71 / $679.50	Facility	26	$400.06	$411.71	$679.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $702.15 / $864.92 / $1,241.94	Professional		$702.15	$864.92	$1,241.94
United Facility/Professional Professional Modifier Low / Median / High Price $472.55 / $758.83 / $984.48	Professional		$472.55	$758.83	$984.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $149.88 / $243.57 / $312.27	Professional	26	$149.88	$243.57	$312.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $403.32 / $524.32 / $672.20	Professional	TC	$403.32	$524.32	$672.20