Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.91 / $77.43 / $206.81	Facility	26	$67.91	$77.43	$206.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $160.31 / $337.60	Professional		$134.41	$160.31	$337.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.10 / $54.75 / $116.27	Professional	26	$46.10	$54.75	$116.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $88.29 / $105.07 / $167.46	Professional	TC	$88.29	$105.07	$167.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.98 / $122.12 / $550.20	Professional		$103.98	$122.12	$550.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.47 / $68.06 / $198.00	Professional	26	$36.47	$68.06	$198.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.03 / $166.90 / $208.62	Professional		$146.03	$166.90	$208.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.02 / $60.59 / $75.73	Professional	26	$53.02	$60.59	$75.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.02 / $106.30 / $132.88	Professional	TC	$93.02	$106.30	$132.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.64 / $58.64 / $58.64	Facility	26	$58.64	$58.64	$58.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.65 / $188.19 / $327.73	Professional		$113.65	$188.19	$327.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.08 / $63.88 / $105.11	Professional	26	$37.08	$63.88	$105.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.97 / $117.63 / $209.37	Professional	TC	$72.97	$117.63	$209.37
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $479.84 / $479.84 / $479.84	Facility	26	$479.84	$479.84	$479.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.72 / $141.08 / $915.52	Professional		$126.72	$141.08	$915.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $43.69 / $48.80 / $323.73	Professional	26	$43.69	$48.80	$323.73
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $83.03 / $92.44 / $591.79	Professional	TC	$83.03	$92.44	$591.79
United Facility/Professional Professional Modifier Low / Median / High Price $126.46 / $141.08 / $315.36	Professional		$126.46	$141.08	$315.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.69 / $48.64 / $95.92	Professional	26	$43.69	$48.64	$95.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.03 / $92.44 / $182.28	Professional	TC	$83.03	$92.44	$182.28