Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.45 / $132.04 / $366.92	Facility	26	$40.45	$132.04	$366.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.40 / $790.38 / $2,628.51	Professional		$377.40	$790.38	$2,628.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.45 / $92.58 / $229.68	Professional	26	$40.45	$92.58	$229.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $336.95 / $431.39 / $2,375.85	Professional	TC	$336.95	$431.39	$2,375.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $845.21 / $845.21 / $845.21	Professional		$845.21	$845.21	$845.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $55.73 / $55.73 / $94.30	Professional	26	$55.73	$55.73	$94.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $682.40 / $729.41 / $747.65	Professional		$682.40	$729.41	$747.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.93 / $79.04 / $81.01	Professional	26	$73.93	$79.04	$81.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $608.46 / $650.38 / $666.63	Professional	TC	$608.46	$650.38	$666.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $233.28 / $233.28 / $233.28	Facility	26	$233.28	$233.28	$233.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.03 / $921.53 / $1,151.91	Professional		$739.03	$921.53	$1,151.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.09 / $95.41 / $119.26	Professional	26	$80.09	$95.41	$119.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $658.95 / $826.12 / $1,032.65	Professional	TC	$658.95	$826.12	$1,032.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $189.21 / $189.21 / $189.21	Facility	26	$189.21	$189.21	$189.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $506.63 / $800.09 / $1,204.67	Professional		$506.63	$800.09	$1,204.67
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.18 / $84.79 / $124.62	Professional	26	$52.18	$84.79	$124.62
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $456.13 / $714.33 / $1,080.05	Professional	TC	$456.13	$714.33	$1,080.05
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $132.52 / $136.38 / $233.28	Facility	26	$132.52	$136.38	$233.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $706.26 / $884.21 / $1,160.39	Professional		$706.26	$884.21	$1,160.39
United Facility/Professional Professional Modifier Low / Median / High Price $499.31 / $800.09 / $1,040.23	Professional		$499.31	$800.09	$1,040.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.18 / $83.79 / $108.70	Professional	26	$52.18	$83.79	$108.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $456.13 / $714.33 / $931.53	Professional	TC	$456.13	$714.33	$931.53