Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.62 / $106.49 / $555.02	Facility	26	$66.62	$106.49	$555.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.86 / $284.02 / $689.57	Professional		$166.86	$284.02	$689.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.00 / $66.63 / $218.00	Professional	26	$53.00	$66.63	$218.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $228.97 / $376.02	Professional	TC	$119.70	$228.97	$376.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $112.62 / $170.42	Professional		$70.61	$112.62	$170.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.97 / $52.46 / $97.48	Professional	26	$41.97	$52.46	$97.48
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $59.63 / $59.63 / $62.34	Professional	TC	$59.63	$59.63	$62.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.81 / $191.78 / $239.73	Professional		$167.81	$191.78	$239.73
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.42 / $54.79 / $69.51	Professional	26	$53.42	$54.79	$69.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $119.87 / $136.99 / $171.24	Professional	TC	$119.87	$136.99	$171.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.24 / $63.24 / $63.24	Facility	26	$63.24	$63.24	$63.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.46 / $276.70 / $496.19	Professional		$137.46	$276.70	$496.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.76 / $70.67 / $126.41	Professional	26	$40.76	$70.67	$126.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.20 / $214.17 / $368.69	Professional	TC	$97.20	$214.17	$368.69
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $518.00 / $518.00 / $518.00	Facility	26	$518.00	$518.00	$518.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.33 / $297.94 / $1,890.30	Professional		$169.33	$297.94	$1,890.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $50.25 / $63.31 / $450.76	Professional	26	$50.25	$63.31	$450.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $115.03 / $236.97 / $1,576.92	Professional	TC	$115.03	$236.97	$1,576.92
United Facility/Professional Professional Modifier Low / Median / High Price $169.33 / $262.64 / $426.45	Professional		$169.33	$262.64	$426.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.25 / $54.30 / $112.33	Professional	26	$50.25	$54.30	$112.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $115.03 / $197.31 / $302.07	Professional	TC	$115.03	$197.31	$302.07