Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $251.19 / $346.74	Facility	26	$158.49	$251.19	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $426.58 / $1,380.38	Professional		$251.19	$426.58	$1,380.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $120.23 / $245.47	Professional	26	$70.79	$120.23	$245.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $302.00 / $691.83	Professional	TC	$181.97	$302.00	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $66.07 / $97.72	Professional	26	$66.07	$66.07	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $562.34	Professional		$251.19	$323.59	$562.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $79.43 / $141.25	Professional	26	$61.66	$79.43	$141.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $239.88 / $426.58	Professional	TC	$186.21	$239.88	$426.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.38 / $81.28 / $114.82	Facility	26	$17.38	$81.28	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $457.09 / $831.76	Professional		$204.17	$457.09	$831.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $75.86 / $151.36	Professional	26	$50.12	$75.86	$151.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $354.81 / $676.08	Professional	TC	$151.36	$354.81	$676.08
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $512.86 / $660.69 / $660.69	Facility	26	$512.86	$660.69	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $512.86 / $3,090.30	Professional		$239.88	$512.86	$3,090.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $66.07 / $870.96	Professional	26	$50.12	$66.07	$870.96
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $436.52 / $2,754.23	Professional	TC	$173.78	$436.52	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $426.58 / $616.60	Professional		$239.88	$426.58	$616.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $66.07 / $109.65	Professional	26	$48.98	$66.07	$109.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $354.81 / $549.54	Professional	TC	$173.78	$354.81	$549.54