Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.88 / $50.20 / $50.20	Facility	26	$49.88	$50.20	$50.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.31 / $197.34 / $1,350.93	Professional		$186.31	$197.34	$1,350.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.97 / $50.20 / $529.50	Professional	26	$46.97	$50.20	$529.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $140.47 / $147.13 / $1,035.28	Professional	TC	$140.47	$147.13	$1,035.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $442.51 / $442.51 / $442.51	Professional		$442.51	$442.51	$442.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.75 / $381.31 / $390.85	Professional		$356.75	$381.31	$390.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.93 / $98.26 / $100.72	Professional	26	$91.93	$98.26	$100.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $264.81 / $283.06 / $290.13	Professional	TC	$264.81	$283.06	$290.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $289.98 / $289.98 / $289.98	Facility	26	$289.98	$289.98	$289.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.27 / $455.45 / $595.35	Professional		$264.27	$455.45	$595.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.69 / $115.06 / $148.35	Professional	26	$66.69	$115.06	$148.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $197.58 / $334.18 / $447.00	Professional	TC	$197.58	$334.18	$447.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $234.66 / $234.66 / $234.66	Facility	26	$234.66	$234.66	$234.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.66 / $422.75 / $1,374.92	Professional		$257.66	$422.75	$1,374.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $63.89 / $106.42 / $330.16	Professional	26	$63.89	$106.42	$330.16
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $193.77 / $316.86 / $1,044.76	Professional	TC	$193.77	$316.86	$1,044.76
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $160.76 / $165.44 / $289.98	Facility	26	$160.76	$165.44	$289.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $391.02 / $480.13 / $643.73	Professional		$391.02	$480.13	$643.73
United Facility/Professional Professional Modifier Low / Median / High Price $260.14 / $418.36 / $541.98	Professional		$260.14	$418.36	$541.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.16 / $106.42 / $135.75	Professional	26	$65.16	$106.42	$135.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.99 / $313.12 / $406.23	Professional	TC	$194.99	$313.12	$406.23