Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.45 / $237.37 / $297.69	Facility	26	$98.45	$237.37	$297.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.67 / $475.00 / $661.50	Professional		$338.67	$475.00	$661.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.20 / $140.00 / $231.92	Professional	26	$73.20	$140.00	$231.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.35 / $335.00 / $500.05	Professional	TC	$259.35	$335.00	$500.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.71 / $158.71 / $556.40	Professional		$158.71	$158.71	$556.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.95 / $80.59 / $93.13	Professional	26	$52.95	$80.59	$93.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.17 / $386.48 / $483.10	Professional		$338.17	$386.48	$483.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.78 / $69.45 / $86.83	Professional	26	$60.78	$69.45	$86.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $277.39 / $317.02 / $396.27	Professional	TC	$277.39	$317.02	$396.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.26 / $80.26 / $80.26	Facility	26	$80.26	$80.26	$80.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.95 / $714.47 / $1,265.57	Professional		$285.95	$714.47	$1,265.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.63 / $98.44 / $160.86	Professional	26	$51.63	$98.44	$160.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $224.95 / $578.71 / $1,093.04	Professional	TC	$224.95	$578.71	$1,093.04
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $656.72 / $656.72 / $656.72	Facility	26	$656.72	$656.72	$656.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $320.88 / $798.29 / $5,311.18	Professional		$320.88	$798.29	$5,311.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $64.73 / $78.40 / $808.00	Professional	26	$64.73	$78.40	$808.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $256.14 / $672.64 / $4,858.99	Professional	TC	$256.14	$672.64	$4,858.99
United Facility/Professional Professional Modifier Low / Median / High Price $320.88 / $675.27 / $928.44	Professional		$320.88	$675.27	$928.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.73 / $77.67 / $147.58	Professional	26	$64.73	$77.67	$147.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $256.14 / $541.88 / $926.90	Professional	TC	$256.14	$541.88	$926.90