Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.48 / $583.77 / $983.99	Facility	26	$107.48	$583.77	$983.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.64 / $414.14 / $1,721.41	Professional		$271.64	$414.14	$1,721.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.48 / $256.68 / $593.00	Professional	26	$107.48	$256.68	$593.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $164.16 / $309.76 / $974.77	Professional	TC	$164.16	$309.76	$974.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $84.35 / $200.73 / $250.82	Professional	26	$84.35	$200.73	$250.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.47 / $536.01 / $562.28	Professional		$501.47	$536.01	$562.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $197.06 / $210.63 / $222.47	Professional	26	$197.06	$210.63	$222.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $304.41 / $325.38 / $339.81	Professional	TC	$304.41	$325.38	$339.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $621.60 / $621.60 / $621.60	Facility	26	$621.60	$621.60	$621.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $480.92 / $658.58 / $1,000.80	Professional		$480.92	$658.58	$1,000.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $130.47 / $246.63 / $317.07	Professional	26	$130.47	$246.63	$317.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $325.48 / $406.85 / $726.83	Professional	TC	$325.48	$406.85	$726.83
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,048.24 / $1,048.24 / $1,048.24	Facility	26	$1,048.24	$1,048.24	$1,048.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $538.76 / $842.57 / $4,801.00	Professional		$538.76	$842.57	$4,801.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $140.46 / $225.71 / $1,632.94	Professional	26	$140.46	$225.71	$1,632.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $388.91 / $614.71 / $3,601.00	Professional	TC	$388.91	$614.71	$3,601.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $366.01 / $376.67 / $621.60	Facility	26	$366.01	$376.67	$621.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $543.10 / $732.74 / $1,000.80	Professional		$543.10	$732.74	$1,000.80
United Facility/Professional Professional Modifier Low / Median / High Price $504.90 / $828.00 / $1,007.48	Professional		$504.90	$828.00	$1,007.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $138.33 / $224.78 / $288.18	Professional	26	$138.33	$224.78	$288.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $358.99 / $608.91 / $747.90	Professional	TC	$358.99	$608.91	$747.90