Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $173.78 / $177.83 / $186.21	Facility	26	$173.78	$177.83	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $977.24	Professional		$363.08	$478.63	$977.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $123.03 / $218.78	Professional	26	$79.43	$123.03	$218.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $380.19 / $794.33	Professional	TC	$281.84	$380.19	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $426.58	Professional		$389.05	$389.05	$426.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $131.83 / $194.98	Professional	26	$109.65	$131.83	$194.98
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $323.59 / $323.59	Professional	TC	$323.59	$323.59	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $660.69 / $912.01	Professional		$398.11	$660.69	$912.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $128.82 / $177.83	Professional	26	$77.62	$128.82	$177.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $524.81 / $724.44	Professional	TC	$316.23	$524.81	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $870.96 / $1,202.26	Professional		$436.52	$870.96	$1,202.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $173.78 / $223.87	Professional	26	$100.00	$173.78	$223.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $691.83 / $1,000.00	Professional	TC	$346.74	$691.83	$1,000.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $380.19 / $380.19 / $380.19	Facility	26	$380.19	$380.19	$380.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $741.31 / $2,754.23	Professional		$436.52	$741.31	$2,754.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $169.82 / $776.25	Professional	26	$134.90	$169.82	$776.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $575.44 / $2,187.76	Professional	TC	$323.59	$575.44	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $912.01 / $1,023.29	Professional		$758.58	$912.01	$1,023.29
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $181.97 / $223.87	Professional	26	$169.82	$181.97	$223.87
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $588.84 / $741.31 / $831.76	Professional	TC	$588.84	$741.31	$831.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $977.24 / $1,000.00	Professional		$489.78	$977.24	$1,000.00
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $190.55 / $199.53	Professional	26	$107.15	$190.55	$199.53
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $380.19 / $776.25 / $794.33	Professional	TC	$380.19	$776.25	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $707.95 / $1,000.00	Professional		$436.52	$707.95	$1,000.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $162.18 / $213.80	Professional	26	$117.49	$162.18	$213.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $549.54 / $794.33	Professional	TC	$323.59	$549.54	$794.33