Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.76 / $258.91 / $436.41	Facility	26	$47.76	$258.91	$436.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.89 / $287.89 / $1,974.07	Professional		$287.89	$287.89	$1,974.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.76 / $106.26 / $286.00	Professional	26	$47.76	$106.26	$286.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $240.14 / $240.14 / $1,676.94	Professional	TC	$240.14	$240.14	$1,676.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.16 / $51.16 / $118.59	Professional	26	$51.16	$51.16	$118.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $521.45 / $557.38 / $571.29	Professional		$521.45	$557.38	$571.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.59 / $93.62 / $95.95	Professional	26	$87.59	$93.62	$95.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $433.87 / $463.75 / $475.35	Professional	TC	$433.87	$463.75	$475.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $276.24 / $276.24 / $276.24	Facility	26	$276.24	$276.24	$276.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $564.73 / $699.68 / $874.60	Professional		$564.73	$699.68	$874.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.84 / $112.48 / $140.60	Professional	26	$94.84	$112.48	$140.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $469.89 / $587.20 / $734.01	Professional	TC	$469.89	$587.20	$734.01
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $222.53 / $222.53 / $222.53	Facility	26	$222.53	$222.53	$222.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $377.04 / $610.35 / $903.39	Professional		$377.04	$610.35	$903.39
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $61.50 / $99.94 / $147.25	Professional	26	$61.50	$99.94	$147.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $315.54 / $509.10 / $756.14	Professional	TC	$315.54	$509.10	$756.14
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $157.12 / $161.69 / $276.24	Facility	26	$157.12	$161.69	$276.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $517.39 / $670.09 / $871.61	Professional		$517.39	$670.09	$871.61
United Facility/Professional Professional Modifier Low / Median / High Price $377.04 / $605.46 / $785.50	Professional		$377.04	$605.46	$785.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.50 / $98.76 / $128.13	Professional	26	$61.50	$98.76	$128.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $315.54 / $504.29 / $657.37	Professional	TC	$315.54	$504.29	$657.37