Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $223.87 / $691.83	Facility	26	$162.18	$223.87	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $602.56 / $2,344.23	Professional		$380.19	$602.56	$2,344.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $169.82 / $416.87	Professional	26	$70.79	$169.82	$416.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $398.11 / $2,137.96	Professional	TC	$309.03	$398.11	$2,137.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $56.23 / $56.23	Professional	26	$56.23	$56.23	$56.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $707.95 / $741.31	Professional		$676.08	$707.95	$741.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $134.90 / $141.25	Professional	26	$125.89	$134.90	$141.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $524.81 / $575.44 / $645.65	Professional	TC	$524.81	$575.44	$645.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $407.38 / $407.38 / $407.38	Facility	26	$407.38	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $1,174.90	Professional		$741.31	$891.25	$1,174.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $141.25 / $169.82 / $213.80	Professional	26	$141.25	$169.82	$213.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $602.56 / $724.44 / $954.99	Professional	TC	$602.56	$724.44	$954.99
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $331.13 / $331.13 / $331.13	Facility	26	$331.13	$331.13	$331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $741.31 / $1,174.90	Professional		$436.52	$741.31	$1,174.90
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $134.90 / $223.87	Professional	26	$91.20	$134.90	$223.87
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $549.54 / $954.99	Professional	TC	$338.84	$549.54	$954.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $912.01	Professional		$741.31	$891.25	$912.01
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $141.25 / $162.18 / $177.83	Professional	26	$141.25	$162.18	$177.83
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $602.56 / $707.95 / $741.31	Professional	TC	$602.56	$707.95	$741.31
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $407.38 / $407.38 / $407.38	Facility	26	$407.38	$407.38	$407.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $912.01	Professional		$870.96	$870.96	$912.01
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $165.96 / $165.96 / $173.78	Professional	26	$165.96	$165.96	$173.78
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $707.95 / $707.95 / $741.31	Professional	TC	$707.95	$707.95	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $758.58 / $1,096.48	Professional		$436.52	$758.58	$1,096.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $141.25 / $194.98	Professional	26	$91.20	$141.25	$194.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $616.60 / $891.25	Professional	TC	$338.84	$616.60	$891.25