Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.77 / $183.54 / $244.70	Facility	26	$84.77	$183.54	$244.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.60 / $281.67 / $449.34	Professional		$176.60	$281.67	$449.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.29 / $64.37 / $166.43	Professional	26	$52.29	$64.37	$166.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $226.80 / $313.58	Professional	TC	$119.70	$226.80	$313.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.96 / $153.85 / $173.92	Professional		$120.96	$153.85	$173.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.79 / $48.65 / $99.03	Professional	26	$45.79	$48.65	$99.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.92 / $198.76 / $248.45	Professional		$173.92	$198.76	$248.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.31 / $59.78 / $74.73	Professional	26	$52.31	$59.78	$74.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $121.60 / $138.97 / $173.72	Professional	TC	$121.60	$138.97	$173.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.05 / $69.05 / $69.05	Facility	26	$69.05	$69.05	$69.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.07 / $278.82 / $506.00	Professional		$151.07	$278.82	$506.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.46 / $75.02 / $129.19	Professional	26	$44.46	$75.02	$129.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $98.59 / $219.11 / $355.70	Professional	TC	$98.59	$219.11	$355.70
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $565.04 / $565.04 / $565.04	Facility	26	$565.04	$565.04	$565.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.04 / $290.62 / $1,897.57	Professional		$165.04	$290.62	$1,897.57
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.86 / $61.18 / $435.88	Professional	26	$51.86	$61.18	$435.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $109.82 / $235.02 / $1,600.00	Professional	TC	$109.82	$235.02	$1,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.04 / $232.99 / $433.39	Professional		$165.04	$232.99	$433.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.86 / $55.22 / $116.84	Professional	26	$51.86	$55.22	$116.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.82 / $166.35 / $288.27	Professional	TC	$109.82	$166.35	$288.27