Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.33 / $180.08 / $488.69	Facility	26	$54.33	$180.08	$488.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.69 / $428.04 / $761.69	Professional		$386.69	$428.04	$761.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.33 / $64.48 / $139.03	Professional	26	$54.33	$64.48	$139.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $332.36 / $369.41 / $657.32	Professional	TC	$332.36	$369.41	$657.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $100.34 / $100.34 / $127.34	Professional	26	$100.34	$100.34	$127.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.73 / $649.04 / $874.38	Professional		$384.73	$649.04	$874.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.79 / $88.25 / $122.27	Professional	26	$53.79	$88.25	$122.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $332.43 / $560.84 / $755.52	Professional	TC	$332.43	$560.84	$755.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $772.51 / $914.97 / $1,036.28	Professional		$772.51	$914.97	$1,036.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.97 / $121.05 / $148.88	Professional	26	$108.97	$121.05	$148.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $657.94 / $801.03 / $882.59	Professional	TC	$657.94	$801.03	$882.59
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $416.00 / $416.00 / $416.00	Facility	26	$416.00	$416.00	$416.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $615.84 / $837.78 / $3,905.69	Professional		$615.84	$837.78	$3,905.69
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $95.56 / $128.56 / $617.51	Professional	26	$95.56	$128.56	$617.51
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $515.02 / $712.33 / $3,576.06	Professional	TC	$515.02	$712.33	$3,576.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $621.53 / $829.30 / $1,050.19	Professional		$621.53	$829.30	$1,050.19
United Facility/Professional Professional Modifier Low / Median / High Price $615.84 / $854.48 / $1,014.67	Professional		$615.84	$854.48	$1,014.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.56 / $129.58 / $147.19	Professional	26	$95.56	$129.58	$147.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $523.17 / $637.63 / $834.22	Professional	TC	$523.17	$637.63	$834.22