Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $281.84 / $851.14	Facility	26	$199.53	$281.84	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $151.36 / $891.25	Professional		$54.95	$151.36	$891.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $57.54 / $346.74	Professional	TC	$48.98	$57.54	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $269.15 / $281.84	Professional		$251.19	$269.15	$281.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $100.00 / $281.84	Professional	TC	$91.20	$100.00	$281.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	26	$524.81	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $436.52	Professional		$234.42	$338.84	$436.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $123.03 / $162.18	Professional	TC	$85.11	$123.03	$162.18
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $426.58 / $426.58 / $426.58	Facility	26	$426.58	$426.58	$426.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $1,148.15	Professional		$169.82	$245.47	$1,148.15
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $81.28 / $588.84	Professional	TC	$56.23	$81.28	$588.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $316.23 / $489.78	Professional		$281.84	$316.23	$489.78
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $181.97 / $204.17 / $309.03	Professional	26	$181.97	$204.17	$309.03
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $109.65 / $181.97	Professional	TC	$100.00	$109.65	$181.97
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	26	$524.81	$524.81	$524.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $346.74	Professional		$331.13	$331.13	$346.74
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $117.49 / $123.03	Professional	TC	$117.49	$117.49	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $371.54	Professional		$169.82	$251.19	$371.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $83.18 / $120.23	Professional	TC	$56.23	$83.18	$120.23