Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $151.36 / $446.68	Facility	26	$102.33	$151.36	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $1,995.26	Professional		$331.13	$407.38	$1,995.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $97.72 / $245.47	Professional	26	$47.86	$97.72	$245.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $323.59 / $1,949.84	Professional	TC	$281.84	$323.59	$1,949.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $38.02 / $38.02	Professional	26	$38.02	$38.02	$38.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $616.60 / $660.69	Professional		$588.84	$616.60	$660.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $91.20 / $97.72	Professional	26	$87.10	$91.20	$97.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $512.86 / $562.34 / $1,445.44	Professional	TC	$512.86	$562.34	$1,445.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	26	$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $1,023.29	Professional		$645.65	$794.33	$1,023.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $114.82 / $144.54	Professional	26	$95.50	$114.82	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $549.54 / $691.83 / $870.96	Professional	TC	$549.54	$691.83	$870.96
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $234.42 / $234.42 / $234.42	Facility	26	$234.42	$234.42	$234.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $575.44 / $2,344.23	Professional		$363.08	$575.44	$2,344.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $91.20 / $380.19	Professional	26	$61.66	$91.20	$380.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $380.19 / $501.19 / $2,041.74	Professional	TC	$380.19	$501.19	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $794.33	Professional		$660.69	$776.25	$794.33
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $109.65 / $120.23	Professional	26	$97.72	$109.65	$120.23
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $562.34 / $645.65 / $691.83	Professional	TC	$562.34	$645.65	$691.83
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	26	$275.42	$275.42	$275.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $794.33	Professional		$758.58	$758.58	$794.33
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $112.20 / $117.49	Professional	26	$112.20	$112.20	$117.49
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $645.65 / $645.65 / $691.83	Professional	TC	$645.65	$645.65	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $660.69 / $933.25	Professional		$363.08	$660.69	$933.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $97.72 / $131.83	Professional	26	$61.66	$97.72	$131.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $562.34 / $794.33	Professional	TC	$302.00	$562.34	$794.33