Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.50 / $165.93 / $215.05	Facility	26	$74.50	$165.93	$215.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.07 / $332.37 / $531.45	Professional		$183.07	$332.37	$531.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.39 / $64.59 / $146.03	Professional	26	$53.39	$64.59	$146.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $127.36 / $260.04 / $402.69	Professional	TC	$127.36	$260.04	$402.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $371.68	Professional		$173.78	$173.78	$371.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.47 / $61.64 / $94.46	Professional	26	$40.47	$61.64	$94.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.39 / $208.44 / $260.55	Professional		$182.39	$208.44	$260.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.47 / $53.11 / $66.39	Professional	26	$46.47	$53.11	$66.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $135.91 / $155.33 / $194.16	Professional	TC	$135.91	$155.33	$194.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.34 / $61.34 / $61.34	Facility	26	$61.34	$61.34	$61.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.76 / $325.16 / $547.83	Professional		$149.76	$325.16	$547.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.52 / $75.97 / $138.31	Professional	26	$39.52	$75.97	$138.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $110.25 / $253.21 / $429.47	Professional	TC	$110.25	$253.21	$429.47
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $502.08 / $502.08 / $502.08	Facility	26	$502.08	$502.08	$502.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $192.95 / $310.18 / $1,940.92	Professional		$192.95	$310.18	$1,940.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $49.08 / $60.49 / $556.79	Professional	26	$49.08	$60.49	$556.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $143.87 / $253.81 / $1,561.11	Professional	TC	$143.87	$253.81	$1,561.11
United Facility/Professional Professional Modifier Low / Median / High Price $192.95 / $298.58 / $485.94	Professional		$192.95	$298.58	$485.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.08 / $59.20 / $112.69	Professional	26	$49.08	$59.20	$112.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $143.87 / $222.34 / $362.33	Professional	TC	$143.87	$222.34	$362.33