Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.49 / $120.13 / $325.39	Facility	26	$35.49	$120.13	$325.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.83 / $731.28 / $1,974.28	Professional		$285.83	$731.28	$1,974.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.49 / $81.34 / $195.00	Professional	26	$35.49	$81.34	$195.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $250.35 / $250.35 / $1,754.27	Professional	TC	$250.35	$250.35	$1,754.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $642.60 / $642.60 / $642.60	Professional		$642.60	$642.60	$642.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.90 / $70.30 / $88.08	Professional	26	$48.90	$70.30	$88.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $517.73 / $553.39 / $567.23	Professional		$517.73	$553.39	$567.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.81 / $69.28 / $71.01	Professional	26	$64.81	$69.28	$71.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $452.92 / $484.12 / $496.22	Professional	TC	$452.92	$484.12	$496.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $204.42 / $204.42 / $204.42	Facility	26	$204.42	$204.42	$204.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $560.69 / $699.68 / $874.60	Professional		$560.69	$699.68	$874.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.18 / $83.78 / $104.72	Professional	26	$70.18	$83.78	$104.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $490.51 / $615.91 / $769.88	Professional	TC	$490.51	$615.91	$769.88
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $168.00 / $168.00 / $168.00	Facility	26	$168.00	$168.00	$168.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.39 / $600.26 / $782.70	Professional		$323.39	$600.26	$782.70
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $45.60 / $74.09 / $110.51	Professional	26	$45.60	$74.09	$110.51
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $330.10 / $530.74 / $687.70	Professional	TC	$330.10	$530.74	$687.70
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $121.15 / $124.68 / $204.42	Facility	26	$121.15	$124.68	$204.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $402.45 / $653.70 / $797.84	Professional		$402.45	$653.70	$797.84
United Facility/Professional Professional Modifier Low / Median / High Price $375.70 / $603.30 / $773.77	Professional		$375.70	$603.30	$773.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.60 / $73.23 / $95.00	Professional	26	$45.60	$73.23	$95.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $330.10 / $525.73 / $668.72	Professional	TC	$330.10	$525.73	$668.72