Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.74 / $181.30 / $491.15	Facility	26	$53.74	$181.30	$491.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.69 / $907.00 / $1,036.89	Professional		$162.69	$907.00	$1,036.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.74 / $128.19 / $309.00	Professional	26	$53.74	$128.19	$309.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $108.96 / $108.96 / $703.42	Professional	TC	$108.96	$108.96	$703.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.68 / $57.68 / $57.68	Professional	26	$57.68	$57.68	$57.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.30 / $323.12 / $331.19	Professional		$302.30	$323.12	$331.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $98.57 / $105.38 / $108.01	Professional	26	$98.57	$105.38	$108.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $203.69 / $217.74 / $223.18	Professional	TC	$203.69	$217.74	$223.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $310.98 / $310.98 / $310.98	Facility	26	$310.98	$310.98	$310.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.33 / $406.84 / $514.87	Professional		$331.33	$406.84	$514.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.77 / $127.21 / $159.02	Professional	26	$106.77	$127.21	$159.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.26 / $274.14 / $355.85	Professional	TC	$223.26	$274.14	$355.85
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $254.13 / $254.13 / $254.13	Facility	26	$254.13	$254.13	$254.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $201.94 / $333.61 / $469.51	Professional		$201.94	$333.61	$469.51
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $70.03 / $112.36 / $165.48	Professional	26	$70.03	$112.36	$165.48
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $132.08 / $214.64 / $304.02	Professional	TC	$132.08	$214.64	$304.02
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $180.60 / $185.86 / $310.98	Facility	26	$180.60	$185.86	$310.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $327.38 / $375.03 / $472.67	Professional		$327.38	$375.03	$472.67
United Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $327.00 / $407.65	Professional		$218.00	$327.00	$407.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.03 / $109.39 / $144.05	Professional	26	$70.03	$109.39	$144.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $132.08 / $217.38 / $275.18	Professional	TC	$132.08	$217.38	$275.18