Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.59 / $177.29 / $240.69	Facility	26	$79.59	$177.29	$240.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $428.96 / $522.50	Professional		$250.00	$428.96	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $127.50 / $154.00	Professional	26	$62.50	$127.50	$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 $171.15 / $201.67 / $201.67	Professional		$171.15	$201.67	$201.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.06 / $265.20 / $331.51	Professional		$232.06	$265.20	$331.51
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 $182.94 / $209.07 / $261.33	Professional	TC	$182.94	$209.07	$261.33
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 $197.30 / $493.15 / $768.45	Professional		$197.30	$493.15	$768.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.76 / $70.84 / $122.10	Professional	26	$41.76	$70.84	$122.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $148.02 / $381.20 / $659.93	Professional	TC	$148.02	$381.20	$659.93
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 $221.18 / $495.07 / $2,955.62	Professional		$221.18	$495.07	$2,955.62
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $48.97 / $58.20 / $596.05	Professional	26	$48.97	$58.20	$596.05
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $169.03 / $438.23 / $2,626.86	Professional	TC	$169.03	$438.23	$2,626.86
United Facility/Professional Professional Modifier Low / Median / High Price $221.18 / $413.44 / $580.82	Professional		$221.18	$413.44	$580.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.97 / $52.15 / $109.45	Professional	26	$48.97	$52.15	$109.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.03 / $327.71 / $502.74	Professional	TC	$169.03	$327.71	$502.74