Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.40 / $190.25 / $310.04	Facility	26	$107.40	$190.25	$310.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.61 / $340.04 / $621.13	Professional		$222.61	$340.04	$621.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.25 / $73.20 / $154.51	Professional	26	$59.25	$73.20	$154.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.63 / $277.86 / $402.89	Professional	TC	$144.63	$277.86	$402.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $166.61 / $195.86 / $225.10	Professional		$166.61	$195.86	$225.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.80 / $88.05 / $173.39	Professional	26	$57.80	$88.05	$173.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.45 / $253.08 / $316.35	Professional		$221.45	$253.08	$316.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.36 / $75.84 / $94.80	Professional	26	$66.36	$75.84	$94.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $155.09 / $177.24 / $221.55	Professional	TC	$155.09	$177.24	$221.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.25 / $87.25 / $87.25	Facility	26	$87.25	$87.25	$87.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.38 / $340.62 / $560.62	Professional		$192.38	$340.62	$560.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.62 / $86.12 / $147.86	Professional	26	$55.62	$86.12	$147.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $126.08 / $262.25 / $447.34	Professional	TC	$126.08	$262.25	$447.34
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $714.16 / $714.16 / $714.16	Facility	26	$714.16	$714.16	$714.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $211.36 / $338.20 / $2,036.01	Professional		$211.36	$338.20	$2,036.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $58.94 / $76.27 / $484.69	Professional	26	$58.94	$76.27	$484.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $140.50 / $279.26 / $2,005.00	Professional	TC	$140.50	$279.26	$2,005.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.36 / $301.47 / $532.30	Professional		$211.36	$301.47	$532.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.94 / $70.86 / $152.88	Professional	26	$58.94	$70.86	$152.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $140.50 / $229.61 / $368.95	Professional	TC	$140.50	$229.61	$368.95