Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $64.57 / $64.57	Facility	26	$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $512.86 / $2,041.74	Professional		$416.87	$512.86	$2,041.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $134.90 / $269.15	Professional	26	$64.57	$134.90	$269.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $407.38 / $2,398.83	Professional	TC	$354.81	$407.38	$2,398.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $89.13 / $158.49	Professional	26	$89.13	$89.13	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $776.25 / $812.83	Professional		$741.31	$776.25	$812.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $123.03 / $128.82	Professional	26	$114.82	$123.03	$128.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $630.96 / $691.83 / $1,445.44	Professional	TC	$630.96	$691.83	$1,445.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $371.54 / $371.54 / $371.54	Facility	26	$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,288.25	Professional		$812.83	$1,023.29	$1,288.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $154.88 / $194.98	Professional	26	$128.82	$154.88	$194.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $676.08 / $870.96 / $1,096.48	Professional	TC	$676.08	$870.96	$1,096.48
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $302.00 / $302.00 / $302.00	Facility	26	$302.00	$302.00	$302.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $1,318.26	Professional		$537.03	$741.31	$1,318.26
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $112.20 / $204.17	Professional	26	$83.18	$112.20	$204.17
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $457.09 / $630.96 / $1,122.02	Professional	TC	$457.09	$630.96	$1,122.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $1,659.59	Professional		$812.83	$977.24	$1,659.59
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $151.36 / $251.19	Professional	26	$128.82	$151.36	$251.19
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $691.83 / $831.76 / $1,412.54	Professional	TC	$691.83	$831.76	$1,412.54
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $371.54 / $371.54 / $371.54	Facility	26	$371.54	$371.54	$371.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,000.00	Professional		$954.99	$954.99	$1,000.00
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $151.36 / $151.36 / $158.49	Professional	26	$151.36	$151.36	$158.49
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $794.33 / $794.33 / $851.14	Professional	TC	$794.33	$794.33	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $831.76 / $1,202.26	Professional		$537.03	$831.76	$1,202.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $131.83 / $181.97	Professional	26	$83.18	$131.83	$181.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $457.09 / $707.95 / $1,023.29	Professional	TC	$457.09	$707.95	$1,023.29