Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.04 / $158.47 / $231.06	Facility	26	$80.04	$158.47	$231.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $475.00 / $616.20	Professional		$250.00	$475.00	$616.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $140.00 / $298.80	Professional	26	$62.50	$140.00	$298.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $335.00 / $422.10	Professional	TC	$187.50	$335.00	$422.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.01 / $172.23 / $635.79	Professional		$90.01	$172.23	$635.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.78 / $53.47 / $99.96	Professional	26	$42.78	$53.47	$99.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.16 / $250.46 / $313.08	Professional		$219.16	$250.46	$313.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.12 / $56.14 / $70.17	Professional	26	$49.12	$56.14	$70.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $170.04 / $194.33 / $242.91	Professional	TC	$170.04	$194.33	$242.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.84 / $64.84 / $64.84	Facility	26	$64.84	$64.84	$64.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $464.00 / $742.00	Professional		$181.08	$464.00	$742.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.00 / $70.84 / $121.58	Professional	26	$42.00	$70.84	$121.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.02 / $359.00 / $648.26	Professional	TC	$138.02	$359.00	$648.26
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $530.79 / $530.79 / $530.79	Facility	26	$530.79	$530.79	$530.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $211.67 / $497.00 / $2,968.23	Professional		$211.67	$497.00	$2,968.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $48.96 / $58.54 / $505.24	Professional	26	$48.96	$58.54	$505.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $159.52 / $418.18 / $2,638.88	Professional	TC	$159.52	$418.18	$2,638.88
United Facility/Professional Professional Modifier Low / Median / High Price $211.67 / $396.49 / $577.86	Professional		$211.67	$396.49	$577.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.96 / $52.35 / $109.44	Professional	26	$48.96	$52.35	$109.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $159.52 / $349.37 / $528.58	Professional	TC	$159.52	$349.37	$528.58