Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $229.09 / $316.23	Facility	26	$87.10	$229.09	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $302.00 / $1,148.15	Professional		$186.21	$302.00	$1,148.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $102.33 / $251.19	Professional	26	$60.26	$102.33	$251.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $208.93 / $741.31	Professional	TC	$120.23	$208.93	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $371.54	Professional		$120.23	$173.78	$371.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $60.26 / $107.15	Professional	26	$48.98	$60.26	$107.15
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $87.10 / $208.93	Professional	TC	$53.70	$87.10	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $234.42 / $416.87	Professional		$186.21	$234.42	$416.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $72.44 / $128.82	Professional	26	$56.23	$72.44	$128.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $162.18 / $288.40	Professional	TC	$128.82	$162.18	$288.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $74.13 / $107.15	Facility	26	$15.85	$74.13	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $269.15 / $501.19	Professional		$154.88	$269.15	$501.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $75.86 / $138.04	Professional	26	$50.12	$75.86	$138.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $181.97 / $363.08	Professional	TC	$102.33	$181.97	$363.08
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $478.63 / $616.60 / $616.60	Facility	26	$478.63	$616.60	$616.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $281.84 / $1,698.24	Professional		$173.78	$281.84	$1,698.24
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $74.13 / $416.87	Professional	26	$56.23	$74.13	$416.87
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $223.87 / $1,412.54	Professional	TC	$114.82	$223.87	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $407.38	Professional		$173.78	$251.19	$407.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $60.26 / $112.20	Professional	26	$56.23	$60.26	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $190.55 / $295.12	Professional	TC	$114.82	$190.55	$295.12