Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.52 / $216.57 / $270.70	Facility	26	$89.52	$216.57	$270.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $475.00 / $539.99	Professional		$250.00	$475.00	$539.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.53 / $140.00 / $154.00	Professional	26	$66.53	$140.00	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $335.00 / $368.50	Professional	TC	$187.50	$335.00	$368.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $157.09 / $200.04 / $217.44	Professional		$157.09	$200.04	$217.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.89 / $84.64 / $84.64	Professional	26	$48.89	$84.64	$84.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.81 / $261.50 / $326.87	Professional		$228.81	$261.50	$326.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.24 / $63.14 / $78.92	Professional	26	$55.24	$63.14	$78.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $173.57 / $198.36 / $247.95	Professional	TC	$173.57	$198.36	$247.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.95 / $72.95 / $72.95	Facility	26	$72.95	$72.95	$72.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.46 / $475.26 / $740.80	Professional		$188.46	$475.26	$740.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.31 / $77.01 / $136.77	Professional	26	$46.31	$77.01	$136.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $141.36 / $351.88 / $634.00	Professional	TC	$141.36	$351.88	$634.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $596.96 / $596.96 / $596.96	Facility	26	$596.96	$596.96	$596.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $225.17 / $467.20 / $2,821.00	Professional		$225.17	$467.20	$2,821.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.76 / $64.59 / $625.77	Professional	26	$54.76	$64.59	$625.77
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $166.88 / $408.95 / $2,451.15	Professional	TC	$166.88	$408.95	$2,451.15
United Facility/Professional Professional Modifier Low / Median / High Price $225.17 / $376.48 / $576.66	Professional		$225.17	$376.48	$576.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.76 / $58.43 / $122.41	Professional	26	$54.76	$58.43	$122.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $166.88 / $330.01 / $467.42	Professional	TC	$166.88	$330.01	$467.42