Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.20 / $154.88 / $588.84	Facility	26	$91.20	$154.88	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $2,238.72	Professional		$398.11	$501.19	$2,238.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $83.18 / $263.03	Professional	26	$69.18	$83.18	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $416.87 / $1,995.26	Professional	TC	$331.13	$416.87	$1,995.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $776.25 / $1,000.00	Professional		$309.03	$776.25	$1,000.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $85.11 / $158.49	Professional	26	$57.54	$85.11	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $776.25 / $812.83	Professional		$724.44	$776.25	$812.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $138.04 / $144.54	Professional	26	$131.83	$138.04	$144.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $616.60 / $676.08 / $1,445.44	Professional	TC	$616.60	$676.08	$1,445.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $416.87 / $416.87 / $416.87	Facility	26	$416.87	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,258.93	Professional		$812.83	$1,023.29	$1,258.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $144.54 / $173.78 / $218.78	Professional	26	$144.54	$173.78	$218.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $660.69 / $851.14 / $1,047.13	Professional	TC	$660.69	$851.14	$1,047.13
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $338.84 / $338.84 / $338.84	Facility	26	$338.84	$338.84	$338.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $707.95 / $1,288.25	Professional		$537.03	$707.95	$1,288.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $138.04 / $223.87	Professional	26	$93.33	$138.04	$223.87
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $436.52 / $588.84 / $1,071.52	Professional	TC	$436.52	$588.84	$1,071.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $954.99 / $1,071.52	Professional		$812.83	$954.99	$1,071.52
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $165.96 / $186.21	Professional	26	$147.91	$165.96	$186.21
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $676.08 / $794.33 / $891.25	Professional	TC	$676.08	$794.33	$891.25
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $416.87 / $416.87 / $416.87	Facility	26	$416.87	$416.87	$416.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,000.00	Professional		$933.25	$933.25	$1,000.00
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $169.82 / $177.83	Professional	26	$169.82	$169.82	$177.83
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $776.25 / $776.25 / $831.76	Professional	TC	$776.25	$776.25	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $812.83 / $1,148.15	Professional		$537.03	$812.83	$1,148.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $147.91 / $199.53	Professional	26	$93.33	$147.91	$199.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $436.52 / $676.08 / $954.99	Professional	TC	$436.52	$676.08	$954.99