Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.76 / $246.59 / $415.65	Facility	26	$45.76	$246.59	$415.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.13 / $359.24 / $2,051.82	Professional		$300.13	$359.24	$2,051.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.76 / $115.56 / $263.00	Professional	26	$45.76	$115.56	$263.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.72 / $254.37 / $1,766.78	Professional	TC	$245.72	$254.37	$1,766.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $674.48 / $674.48 / $674.48	Professional		$674.48	$674.48	$674.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.03 / $63.03 / $106.65	Professional	26	$63.03	$63.03	$106.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $543.66 / $581.12 / $595.64	Professional		$543.66	$581.12	$595.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.90 / $89.68 / $91.92	Professional	26	$83.90	$89.68	$91.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $459.76 / $491.44 / $503.73	Professional	TC	$459.76	$491.44	$503.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $264.66 / $264.66 / $264.66	Facility	26	$264.66	$264.66	$264.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.79 / $732.26 / $915.33	Professional		$588.79	$732.26	$915.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.87 / $107.82 / $134.78	Professional	26	$90.87	$107.82	$134.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $497.92 / $624.44 / $780.55	Professional	TC	$497.92	$624.44	$780.55
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $216.00 / $216.00 / $216.00	Facility	26	$216.00	$216.00	$216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $340.95 / $630.27 / $936.65	Professional		$340.95	$630.27	$936.65
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $58.94 / $95.78 / $140.19	Professional	26	$58.94	$95.78	$140.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $332.46 / $539.26 / $796.46	Professional	TC	$332.46	$539.26	$796.46
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $153.41 / $157.88 / $264.66	Facility	26	$153.41	$157.88	$264.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $432.64 / $683.18 / $831.48	Professional		$432.64	$683.18	$831.48
United Facility/Professional Professional Modifier Low / Median / High Price $391.40 / $630.27 / $815.43	Professional		$391.40	$630.27	$815.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.94 / $94.65 / $122.80	Professional	26	$58.94	$94.65	$122.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $332.46 / $534.16 / $692.63	Professional	TC	$332.46	$534.16	$692.63