Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $165.96 / $302.00 / $407.38	Facility	26	$165.96	$302.00	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $2,238.72	Professional		$354.81	$524.81	$2,238.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $147.91 / $346.74	Professional	26	$85.11	$147.91	$346.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $363.08 / $870.96	Professional	TC	$263.03	$363.08	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $331.13 / $346.74	Professional		$309.03	$331.13	$346.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $81.28 / $141.25	Professional	26	$63.10	$81.28	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $457.09 / $794.33	Professional		$354.81	$457.09	$794.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $95.50 / $169.82	Professional	26	$74.13	$95.50	$169.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $354.81 / $630.96	Professional	TC	$275.42	$354.81	$630.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $97.72 / $138.04	Facility	26	$20.89	$97.72	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $602.56 / $1,230.27	Professional		$288.40	$602.56	$1,230.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $100.00 / $181.97	Professional	26	$64.57	$100.00	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $512.86 / $1,071.52	Professional	TC	$223.87	$512.86	$1,071.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $616.60 / $794.33 / $794.33	Facility	26	$616.60	$794.33	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $794.33 / $5,370.32	Professional		$338.84	$794.33	$5,370.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $89.13 / $812.83	Professional	26	$74.13	$89.13	$812.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $660.69 / $4,897.79	Professional	TC	$257.04	$660.69	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $602.56 / $977.24	Professional		$338.84	$602.56	$977.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $79.43 / $144.54	Professional	26	$74.13	$79.43	$144.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $524.81 / $891.25	Professional	TC	$257.04	$524.81	$891.25