Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $213.80 / $218.78 / $223.87	Facility	26	$213.80	$218.78	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $257.04 / $489.78	Professional		$165.96	$257.04	$489.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $125.89 / $257.04	Professional	26	$95.50	$125.89	$257.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $85.11 / $162.18	Professional	TC	$66.07	$85.11	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $354.81	Professional		$154.88	$194.98	$354.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $177.83 / $245.47	Professional	26	$93.33	$177.83	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $269.15 / $363.08	Professional		$158.49	$269.15	$363.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $158.49 / $218.78	Professional	26	$95.50	$158.49	$218.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $107.15 / $144.54	Professional	TC	$64.57	$107.15	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $371.54 / $467.74	Professional		$199.53	$371.54	$467.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $213.80 / $275.42	Professional	26	$114.82	$213.80	$275.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $154.88 / $190.55	Professional	TC	$85.11	$154.88	$190.55
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $467.74 / $467.74 / $467.74	Facility	26	$467.74	$467.74	$467.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $371.54 / $1,148.15	Professional		$281.84	$371.54	$1,148.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $165.96 / $208.93 / $660.69	Professional	26	$165.96	$208.93	$660.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $151.36 / $478.63	Professional	TC	$123.03	$151.36	$478.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $380.19 / $489.78	Professional		$346.74	$380.19	$489.78
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $208.93 / $223.87 / $281.84	Professional	26	$208.93	$223.87	$281.84
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $162.18 / $213.80	Professional	TC	$138.04	$162.18	$213.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $389.05 / $416.87	Professional		$245.47	$389.05	$416.87
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $234.42 / $245.47	Professional	26	$134.90	$234.42	$245.47
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $154.88 / $165.96	Professional	TC	$109.65	$154.88	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $346.74 / $457.09	Professional		$245.47	$346.74	$457.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $141.25 / $204.17 / $263.03	Professional	26	$141.25	$204.17	$263.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $144.54 / $190.55	Professional	TC	$102.33	$144.54	$190.55