Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $208.93 / $288.40	Facility	26	$95.50	$208.93	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $794.33	Professional		$190.55	$302.00	$794.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $85.11 / $213.80	Professional	26	$54.95	$85.11	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $218.78 / $549.54	Professional	TC	$128.82	$218.78	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $158.49 / $173.78	Professional		$85.11	$158.49	$173.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $54.95 / $109.65	Professional	26	$43.65	$54.95	$109.65
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $114.82 / $245.47	Professional	TC	$102.33	$114.82	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $446.68	Professional		$199.53	$257.04	$446.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $66.07 / $117.49	Professional	26	$51.29	$66.07	$117.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $190.55 / $331.13	Professional	TC	$147.91	$190.55	$331.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.45 / $67.61 / $95.50	Facility	26	$14.45	$67.61	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $302.00 / $616.60	Professional		$165.96	$302.00	$616.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $75.86 / $138.04	Professional	26	$45.71	$75.86	$138.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $218.78 / $467.74	Professional	TC	$120.23	$218.78	$467.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $426.58 / $549.54 / $549.54	Facility	26	$426.58	$549.54	$549.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $363.08 / $2,344.23	Professional		$199.53	$363.08	$2,344.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $69.18 / $537.03	Professional	26	$56.23	$69.18	$537.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $295.12 / $1,995.26	Professional	TC	$141.25	$295.12	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $489.78	Professional		$199.53	$302.00	$489.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $60.26 / $109.65	Professional	26	$56.23	$60.26	$109.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $234.42 / $371.54	Professional	TC	$141.25	$234.42	$371.54