Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.93 / $159.74 / $308.93	Facility	26	$99.93	$159.74	$308.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.26 / $431.44 / $892.19	Professional		$256.26	$431.44	$892.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.65 / $92.00 / $227.50	Professional	26	$75.65	$92.00	$227.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $179.11 / $318.48 / $509.48	Professional	TC	$179.11	$318.48	$509.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $245.21 / $642.65	Professional		$182.45	$245.21	$642.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.95 / $110.17 / $136.13	Professional	26	$62.95	$110.17	$136.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.89 / $301.60 / $377.00	Professional		$263.89	$301.60	$377.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.90 / $82.17 / $102.71	Professional	26	$71.90	$82.17	$102.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $192.00 / $219.43 / $274.29	Professional	TC	$192.00	$219.43	$274.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.56 / $94.56 / $94.56	Facility	26	$94.56	$94.56	$94.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.60 / $486.96 / $825.25	Professional		$239.60	$486.96	$825.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.24 / $99.51 / $177.83	Professional	26	$61.24	$99.51	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $167.74 / $368.25 / $649.94	Professional	TC	$167.74	$368.25	$649.94
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $773.84 / $773.84 / $773.84	Facility	26	$773.84	$773.84	$773.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $256.14 / $526.30 / $3,234.12	Professional		$256.14	$526.30	$3,234.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $71.50 / $89.50 / $559.72	Professional	26	$71.50	$89.50	$559.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $180.07 / $454.53 / $2,749.60	Professional	TC	$180.07	$454.53	$2,749.60
United Facility/Professional Professional Modifier Low / Median / High Price $252.59 / $436.64 / $649.82	Professional		$252.59	$436.64	$649.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.50 / $76.34 / $159.84	Professional	26	$71.50	$76.34	$159.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $176.32 / $388.49 / $503.41	Professional	TC	$176.32	$388.49	$503.41