Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.35 / $181.63 / $240.62	Facility	26	$83.35	$181.63	$240.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.28 / $347.48 / $473.89	Professional		$200.28	$347.48	$473.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.54 / $69.23 / $154.06	Professional	26	$56.54	$69.23	$154.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $140.59 / $274.57 / $358.73	Professional	TC	$140.59	$274.57	$358.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $165.91 / $530.15	Professional		$98.27	$165.91	$530.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.02 / $51.78 / $78.79	Professional	26	$45.02	$51.78	$78.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.14 / $226.45 / $283.06	Professional		$198.14	$226.45	$283.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.43 / $58.78 / $73.47	Professional	26	$51.43	$58.78	$73.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $146.71 / $167.67 / $209.59	Professional	TC	$146.71	$167.67	$209.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.54 / $67.54 / $67.54	Facility	26	$67.54	$67.54	$67.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.47 / $339.61 / $593.32	Professional		$170.47	$339.61	$593.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.50 / $78.63 / $139.60	Professional	26	$43.50	$78.63	$139.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $119.14 / $268.52 / $463.87	Professional	TC	$119.14	$268.52	$463.87
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $553.04 / $553.04 / $553.04	Facility	26	$553.04	$553.04	$553.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $200.32 / $367.84 / $2,319.03	Professional		$200.32	$367.84	$2,319.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $56.37 / $66.84 / $543.21	Professional	26	$56.37	$66.84	$543.21
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $140.51 / $299.20 / $1,973.17	Professional	TC	$140.51	$299.20	$1,973.17
United Facility/Professional Professional Modifier Low / Median / High Price $200.32 / $304.37 / $503.11	Professional		$200.32	$304.37	$503.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.37 / $59.95 / $126.68	Professional	26	$56.37	$59.95	$126.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $140.51 / $247.37 / $367.46	Professional	TC	$140.51	$247.37	$367.46