Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.91 / $269.15 / $371.54	Facility	26	$147.91	$269.15	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $1,000.00	Professional		$213.80	$323.59	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $102.33 / $239.88	Professional	26	$61.66	$102.33	$239.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $218.78 / $524.81	Professional	TC	$141.25	$218.78	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $245.47	Professional		$144.54	$186.21	$245.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $61.66 / $102.33	Professional	26	$56.23	$61.66	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $501.19	Professional		$223.87	$281.84	$501.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $85.11 / $151.36	Professional	26	$66.07	$85.11	$151.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $199.53 / $354.81	Professional	TC	$154.88	$199.53	$354.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $87.10 / $123.03	Facility	26	$18.62	$87.10	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $323.59 / $602.56	Professional		$186.21	$323.59	$602.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $83.18 / $162.18	Professional	26	$57.54	$83.18	$162.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $223.87 / $446.68	Professional	TC	$125.89	$223.87	$446.68
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $549.54 / $707.95 / $707.95	Facility	26	$549.54	$707.95	$707.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $338.84 / $2,041.74	Professional		$213.80	$338.84	$2,041.74
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $75.86 / $489.78	Professional	26	$60.26	$75.86	$489.78
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $275.42 / $1,995.26	Professional	TC	$141.25	$275.42	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $489.78	Professional		$213.80	$302.00	$489.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $70.79 / $123.03	Professional	26	$58.88	$70.79	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $234.42 / $363.08	Professional	TC	$141.25	$234.42	$363.08