Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.25 / $184.59 / $246.10	Facility	26	$85.25	$184.59	$246.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $259.57 / $394.26	Professional		$171.00	$259.57	$394.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.15 / $65.15 / $176.88	Professional	26	$55.15	$65.15	$176.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $116.70 / $177.61 / $291.63	Professional	TC	$116.70	$177.61	$291.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $153.37 / $265.33	Professional		$112.50	$153.37	$265.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.07 / $70.09 / $107.39	Professional	26	$46.07	$70.09	$107.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.47 / $181.10 / $226.38	Professional		$158.47	$181.10	$226.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.89 / $60.45 / $75.56	Professional	26	$52.89	$60.45	$75.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $105.57 / $120.66 / $150.82	Professional	TC	$105.57	$120.66	$150.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.79 / $69.79 / $69.79	Facility	26	$69.79	$69.79	$69.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.60 / $280.04 / $466.74	Professional		$138.60	$280.04	$466.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.95 / $73.55 / $129.88	Professional	26	$44.95	$73.55	$129.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.54 / $206.84 / $338.88	Professional	TC	$85.54	$206.84	$338.88
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $571.36 / $571.36 / $571.36	Facility	26	$571.36	$571.36	$571.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.02 / $265.73 / $1,670.68	Professional		$173.02	$265.73	$1,670.68
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.18 / $62.63 / $520.49	Professional	26	$52.18	$62.63	$520.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $117.50 / $213.55 / $1,318.41	Professional	TC	$117.50	$213.55	$1,318.41
United Facility/Professional Professional Modifier Low / Median / High Price $173.02 / $257.49 / $427.04	Professional		$173.02	$257.49	$427.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.18 / $55.70 / $116.64	Professional	26	$52.18	$55.70	$116.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.50 / $186.53 / $297.19	Professional	TC	$117.50	$186.53	$297.19