Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $107.15 / $316.23	Facility	26	$70.79	$107.15	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $338.84 / $1,905.46	Professional		$281.84	$338.84	$1,905.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $75.86 / $190.55	Professional	26	$33.11	$75.86	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $302.00 / $1,698.24	Professional	TC	$245.47	$302.00	$1,698.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $45.71 / $77.62	Professional	26	$26.30	$45.71	$77.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $524.81 / $562.34	Professional		$501.19	$524.81	$562.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $63.10 / $67.61	Professional	26	$60.26	$63.10	$67.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $398.11 / $467.74 / $512.86	Professional	TC	$398.11	$467.74	$512.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $194.98 / $194.98 / $194.98	Facility	26	$194.98	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $707.95 / $870.96	Professional		$549.54	$707.95	$870.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $79.43 / $100.00	Professional	26	$66.07	$79.43	$100.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $489.78 / $616.60 / $776.25	Professional	TC	$489.78	$616.60	$776.25
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $154.88 / $154.88 / $154.88	Facility	26	$154.88	$154.88	$154.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $489.78 / $891.25	Professional		$371.54	$489.78	$891.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $64.57 / $102.33	Professional	26	$42.66	$64.57	$102.33
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $436.52 / $794.33	Professional	TC	$323.59	$436.52	$794.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $645.65 / $741.31	Professional		$562.34	$645.65	$741.31
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $75.86 / $85.11	Professional	26	$67.61	$75.86	$85.11
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $489.78 / $575.44 / $660.69	Professional	TC	$489.78	$575.44	$660.69
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $194.98 / $194.98 / $194.98	Facility	26	$194.98	$194.98	$194.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $691.83	Professional		$645.65	$645.65	$691.83
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $77.62 / $83.18	Professional	26	$77.62	$77.62	$83.18
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $562.34 / $562.34 / $602.56	Professional	TC	$562.34	$562.34	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $794.33	Professional		$371.54	$562.34	$794.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $66.07 / $93.33	Professional	26	$41.69	$66.07	$93.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $501.19 / $707.95	Professional	TC	$323.59	$501.19	$707.95