Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.39 / $119.50 / $201.43	Facility	26	$22.39	$119.50	$201.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.22 / $553.66 / $1,422.08	Professional		$206.22	$553.66	$1,422.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $52.12 / $134.25	Professional	26	$22.39	$52.12	$134.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $183.83 / $183.83 / $1,284.18	Professional	TC	$183.83	$183.83	$1,284.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.83 / $30.83 / $44.32	Professional	26	$30.83	$30.83	$44.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $373.25 / $398.95 / $408.93	Professional		$373.25	$398.95	$408.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.65 / $43.46 / $44.54	Professional	26	$40.65	$43.46	$44.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $332.58 / $355.50 / $364.38	Professional	TC	$332.58	$355.50	$364.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.28 / $128.28 / $128.28	Facility	26	$128.28	$128.28	$128.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.23 / $504.98 / $631.23	Professional		$404.23	$504.98	$631.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.04 / $52.75 / $65.93	Professional	26	$44.04	$52.75	$65.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $360.19 / $452.23 / $565.29	Professional	TC	$360.19	$452.23	$565.29
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $104.46 / $104.46 / $104.46	Facility	26	$104.46	$104.46	$104.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $273.06 / $437.19 / $628.86	Professional		$273.06	$437.19	$628.86
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $28.59 / $46.45 / $68.78	Professional	26	$28.59	$46.45	$68.78
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $244.78 / $389.72 / $560.08	Professional	TC	$244.78	$389.72	$560.08
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $74.87 / $77.05 / $128.28	Facility	26	$74.87	$77.05	$128.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $404.23 / $478.60 / $626.48	Professional		$404.23	$478.60	$626.48
United Facility/Professional Professional Modifier Low / Median / High Price $273.06 / $433.06 / $562.73	Professional		$273.06	$433.06	$562.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.59 / $46.45 / $59.55	Professional	26	$28.59	$46.45	$59.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $244.78 / $389.72 / $489.28	Professional	TC	$244.78	$389.72	$489.28