Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.12 / $64.95 / $64.95	Facility	26	$64.12	$64.95	$64.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.05 / $493.74 / $2,915.86	Professional		$416.05	$493.74	$2,915.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.95 / $135.12 / $271.00	Professional	26	$64.95	$135.12	$271.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $351.09 / $351.09 / $2,508.42	Professional	TC	$351.09	$351.09	$2,508.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $128.41 / $128.41 / $151.16	Professional	26	$128.41	$128.41	$151.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $748.46 / $800.01 / $820.01	Professional		$748.46	$800.01	$820.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $118.48 / $126.66 / $129.83	Professional	26	$118.48	$126.66	$129.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $629.97 / $673.36 / $690.19	Professional	TC	$629.97	$673.36	$690.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $373.80 / $373.80 / $373.80	Facility	26	$373.80	$373.80	$373.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $810.59 / $1,005.31 / $1,256.63	Professional		$810.59	$1,005.31	$1,256.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.34 / $152.81 / $191.02	Professional	26	$128.34	$152.81	$191.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $682.25 / $852.49 / $1,065.61	Professional	TC	$682.25	$852.49	$1,065.61
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $301.25 / $301.25 / $301.25	Facility	26	$301.25	$301.25	$301.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $556.75 / $882.03 / $1,327.78	Professional		$556.75	$882.03	$1,327.78
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $84.54 / $136.41 / $202.33	Professional	26	$84.54	$136.41	$202.33
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $472.21 / $744.31 / $1,125.45	Professional	TC	$472.21	$744.31	$1,125.45
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $204.74 / $210.71 / $373.80	Facility	26	$204.74	$210.71	$373.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $820.36 / $1,025.72 / $1,667.93	Professional		$820.36	$1,025.72	$1,667.93
United Facility/Professional Professional Modifier Low / Median / High Price $603.15 / $904.72 / $1,127.89	Professional		$603.15	$904.72	$1,127.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $84.54 / $135.76 / $176.13	Professional	26	$84.54	$135.76	$176.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $472.21 / $744.31 / $983.77	Professional	TC	$472.21	$744.31	$983.77