Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.50 / $103.24 / $215.05	Facility	26	$74.50	$103.24	$215.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $287.22 / $519.15	Professional		$171.00	$287.22	$519.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.42 / $64.59 / $212.00	Professional	26	$53.42	$64.59	$212.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $116.69 / $220.28 / $349.82	Professional	TC	$116.69	$220.28	$349.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.33 / $134.93 / $366.94	Professional		$73.33	$134.93	$366.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.69 / $61.64 / $98.66	Professional	26	$40.69	$61.64	$98.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.40 / $174.17 / $217.71	Professional		$152.40	$174.17	$217.71
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 $105.92 / $121.06 / $151.32	Professional	TC	$105.92	$121.06	$151.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.98 / $60.98 / $60.98	Facility	26	$60.98	$60.98	$60.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.21 / $281.25 / $468.76	Professional		$127.21	$281.25	$468.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.53 / $71.09 / $118.16	Professional	26	$38.53	$71.09	$118.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.38 / $204.44 / $344.36	Professional	TC	$85.38	$204.44	$344.36
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $498.88 / $498.88 / $498.88	Facility	26	$498.88	$498.88	$498.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.18 / $281.19 / $1,708.01	Professional		$144.18	$281.19	$1,708.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $49.08 / $57.74 / $384.71	Professional	26	$49.08	$57.74	$384.71
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $95.10 / $228.05 / $2,023.00	Professional	TC	$95.10	$228.05	$2,023.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.18 / $246.90 / $364.68	Professional		$144.18	$246.90	$364.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.99 / $56.72 / $118.79	Professional	26	$48.99	$56.72	$118.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.10 / $202.81 / $266.38	Professional	TC	$95.10	$202.81	$266.38