Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $309.03 / $5,623.41	Facility		$295.12	$309.03	$5,623.41
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $162.18 / $467.74	Facility	26	$162.18	$162.18	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $173.78 / $354.81	Professional		$97.72	$173.78	$354.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $79.43 / $245.47	Professional	26	$51.29	$79.43	$245.47
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $125.89 / $125.89 / $125.89	Professional	52	$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $85.11 / $218.78	Professional	TC	$58.88	$85.11	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $83.18 / $173.78	Professional	26	$61.66	$83.18	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,630.78 / $7,413.10	Facility		$831.76	$3,630.78	$7,413.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $269.15 / $288.40	Professional		$257.04	$269.15	$288.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $144.54 / $151.36	Professional	26	$123.03	$144.54	$151.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $123.03 / $131.83	Professional	TC	$117.49	$123.03	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $13,182.57	Facility		$812.83	$812.83	$13,182.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $436.52 / $436.52 / $436.52	Facility	26	$436.52	$436.52	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $338.84 / $501.19	Professional		$120.23	$338.84	$501.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $151.36 / $223.87	Professional	26	$66.07	$151.36	$223.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $158.49 / $323.59	Professional	TC	$67.61	$158.49	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $338.84 / $2,041.74	Facility		$138.04	$338.84	$2,041.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $363.08 / $363.08 / $363.08	Facility	26	$363.08	$363.08	$363.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $309.03 / $3,090.30	Professional		$181.97	$309.03	$3,090.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $117.49 / $549.54	Professional	26	$69.18	$117.49	$549.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $158.49 / $2,818.38	Professional	TC	$85.11	$158.49	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $323.59 / $501.19	Professional		$281.84	$323.59	$501.19
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $151.36 / $173.78 / $275.42	Professional	26	$151.36	$173.78	$275.42
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $147.91 / $229.09	Professional	TC	$128.82	$147.91	$229.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $436.52 / $436.52 / $436.52	Facility	26	$436.52	$436.52	$436.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $954.99	Professional		$323.59	$501.19	$954.99
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $112.20 / $275.42	Professional	26	$109.65	$112.20	$275.42
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $229.09 / $851.14	Professional	TC	$147.91	$229.09	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $2,884.03 / $7,244.36	Facility		$61.66	$2,884.03	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $295.12 / $501.19	Professional		$165.96	$295.12	$501.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $114.82 / $177.83	Professional	26	$69.18	$114.82	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $134.90 / $346.74	Professional	TC	$79.43	$134.90	$346.74