Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $119.68 / $236.94 / $345.49	Facility	26	$119.68	$236.94	$345.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.45 / $475.00 / $867.11	Professional		$355.45	$475.00	$867.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.72 / $140.00 / $389.19	Professional	26	$85.72	$140.00	$389.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.35 / $335.00 / $461.90	Professional	TC	$259.35	$335.00	$461.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $306.14 / $306.14 / $346.07	Professional		$306.14	$306.14	$346.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.41 / $98.09 / $150.32	Professional	26	$64.41	$98.09	$150.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.39 / $402.73 / $503.41	Professional		$352.39	$402.73	$503.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.95 / $84.51 / $105.64	Professional	26	$73.95	$84.51	$105.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $278.44 / $318.22 / $397.77	Professional	TC	$278.44	$318.22	$397.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.25 / $97.25 / $97.25	Facility	26	$97.25	$97.25	$97.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.98 / $738.68 / $1,268.15	Professional		$299.98	$738.68	$1,268.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.98 / $106.21 / $182.40	Professional	26	$62.98	$106.21	$182.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $226.06 / $581.91 / $1,092.56	Professional	TC	$226.06	$581.91	$1,092.56
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $796.16 / $796.16 / $796.16	Facility	26	$796.16	$796.16	$796.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $336.52 / $798.92 / $5,311.18	Professional		$336.52	$798.92	$5,311.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $73.44 / $86.65 / $808.00	Professional	26	$73.44	$86.65	$808.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $257.98 / $677.47 / $4,858.99	Professional	TC	$257.98	$677.47	$4,858.99
United Facility/Professional Professional Modifier Low / Median / High Price $336.52 / $643.35 / $946.92	Professional		$336.52	$643.35	$946.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.44 / $78.54 / $173.84	Professional	26	$73.44	$78.54	$173.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.98 / $576.66 / $791.53	Professional	TC	$257.98	$576.66	$791.53