Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.32 / $187.81 / $254.98	Facility	26	$84.32	$187.81	$254.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.52 / $293.83 / $516.36	Professional		$199.52	$293.83	$516.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.22 / $69.00 / $140.47	Professional	26	$53.22	$69.00	$140.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $136.65 / $220.00 / $375.87	Professional	TC	$136.65	$220.00	$375.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.06 / $186.06 / $446.20	Professional		$186.06	$186.06	$446.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $68.98 / $68.98 / $110.46	Professional	26	$68.98	$68.98	$110.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.68 / $243.06 / $303.83	Professional		$212.68	$243.06	$303.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.02 / $59.45 / $74.31	Professional	26	$52.02	$59.45	$74.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $160.66 / $183.62 / $229.52	Professional	TC	$160.66	$183.62	$229.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.70 / $68.70 / $68.70	Facility	26	$68.70	$68.70	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.01 / $366.98 / $611.63	Professional		$183.01	$366.98	$611.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.21 / $81.78 / $143.21	Professional	26	$44.21	$81.78	$143.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $131.21 / $297.76 / $489.00	Professional	TC	$131.21	$297.76	$489.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $561.91 / $561.91 / $561.91	Facility	26	$561.91	$561.91	$561.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.81 / $360.43 / $2,220.23	Professional		$213.81	$360.43	$2,220.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.91 / $64.59 / $590.91	Professional	26	$54.91	$64.59	$590.91
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $158.90 / $301.48 / $1,822.59	Professional	TC	$158.90	$301.48	$1,822.59
United Facility/Professional Professional Modifier Low / Median / High Price $213.81 / $334.16 / $537.12	Professional		$213.81	$334.16	$537.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.91 / $62.70 / $131.76	Professional	26	$54.91	$62.70	$131.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $158.90 / $274.27 / $400.19	Professional	TC	$158.90	$274.27	$400.19