Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.47 / $128.87 / $349.21	Facility	26	$38.47	$128.87	$349.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.04 / $565.39 / $1,490.00	Professional		$256.04	$565.39	$1,490.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.47 / $94.24 / $222.00	Professional	26	$38.47	$94.24	$222.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $217.56 / $229.93 / $1,543.23	Professional	TC	$217.56	$229.93	$1,543.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $574.16 / $574.16 / $574.16	Professional		$574.16	$574.16	$574.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.23 / $76.20 / $89.69	Professional	26	$41.23	$76.20	$89.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $462.87 / $494.75 / $507.13	Professional		$462.87	$494.75	$507.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.31 / $75.15 / $77.04	Professional	26	$70.31	$75.15	$77.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $392.55 / $419.60 / $430.08	Professional	TC	$392.55	$419.60	$430.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $221.82 / $221.82 / $221.82	Facility	26	$221.82	$221.82	$221.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.30 / $622.89 / $778.61	Professional		$501.30	$622.89	$778.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.16 / $90.76 / $113.45	Professional	26	$76.16	$90.76	$113.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $425.14 / $532.13 / $665.16	Professional	TC	$425.14	$532.13	$665.16
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $225.00 / $225.00 / $225.00	Facility	26	$225.00	$225.00	$225.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $340.00 / $537.67 / $708.33	Professional		$340.00	$537.67	$708.33
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $49.66 / $80.69 / $118.58	Professional	26	$49.66	$80.69	$118.58
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $290.33 / $461.22 / $604.88	Professional	TC	$290.33	$461.22	$604.88
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $129.43 / $133.19 / $221.82	Facility	26	$129.43	$133.19	$221.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $563.60 / $729.93	Professional		$378.00	$563.60	$729.93
United Facility/Professional Professional Modifier Low / Median / High Price $340.00 / $537.67 / $688.78	Professional		$340.00	$537.67	$688.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.66 / $79.73 / $103.45	Professional	26	$49.66	$79.73	$103.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $290.33 / $456.87 / $588.17	Professional	TC	$290.33	$456.87	$588.17