Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.04 / $157.57 / $231.06	Facility	26	$80.04	$157.57	$231.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $475.00 / $895.94	Professional		$250.00	$475.00	$895.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $140.00 / $289.50	Professional	26	$62.50	$140.00	$289.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $335.00 / $385.24	Professional	TC	$187.50	$335.00	$385.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.47 / $191.53 / $216.51	Professional		$150.47	$191.53	$216.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.02 / $93.54 / $129.06	Professional	26	$43.02	$93.54	$129.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.79 / $251.19 / $313.99	Professional		$219.79	$251.19	$313.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.41 / $56.47 / $70.59	Professional	26	$49.41	$56.47	$70.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $170.38 / $194.72 / $243.40	Professional	TC	$170.38	$194.72	$243.40
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 $181.62 / $464.00 / $742.00	Professional		$181.62	$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 $138.30 / $358.20 / $646.91	Professional	TC	$138.30	$358.20	$646.91
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 $212.59 / $495.71 / $2,961.02	Professional		$212.59	$495.71	$2,961.02
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $48.64 / $58.54 / $505.24	Professional	26	$48.64	$58.54	$505.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $160.13 / $418.18 / $2,631.72	Professional	TC	$160.13	$418.18	$2,631.72
United Facility/Professional Professional Modifier Low / Median / High Price $212.59 / $397.07 / $580.46	Professional		$212.59	$397.07	$580.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.64 / $52.66 / $111.80	Professional	26	$48.64	$52.66	$111.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $160.13 / $335.62 / $511.10	Professional	TC	$160.13	$335.62	$511.10