Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.31 / $166.72 / $321.52	Facility	26	$104.31	$166.72	$321.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.39 / $438.87 / $709.74	Professional		$261.39	$438.87	$709.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.50 / $97.62 / $325.89	Professional	26	$82.50	$97.62	$325.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $179.11 / $318.48 / $508.96	Professional	TC	$179.11	$318.48	$508.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.31 / $250.12 / $288.62	Professional		$190.31	$250.12	$288.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $65.41 / $82.13 / $142.08	Professional	26	$65.41	$82.13	$142.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.06 / $305.20 / $381.51	Professional		$267.06	$305.20	$381.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.63 / $85.78 / $107.22	Professional	26	$83.63	$85.78	$107.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $192.00 / $219.43 / $274.29	Professional	TC	$192.00	$219.43	$274.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.41 / $98.41 / $98.41	Facility	26	$98.41	$98.41	$98.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.13 / $434.99 / $704.61	Professional		$248.13	$434.99	$704.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.88 / $106.73 / $185.01	Professional	26	$62.88	$106.73	$185.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.68 / $325.72 / $577.14	Professional	TC	$169.68	$325.72	$577.14
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $804.96 / $804.96 / $804.96	Facility	26	$804.96	$804.96	$804.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $261.66 / $468.98 / $3,183.14	Professional		$261.66	$468.98	$3,183.14
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $78.59 / $93.11 / $1,009.00	Professional	26	$78.59	$93.11	$1,009.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $182.52 / $357.46 / $2,699.58	Professional	TC	$182.52	$357.46	$2,699.58
United Facility/Professional Professional Modifier Low / Median / High Price $258.69 / $379.58 / $659.00	Professional		$258.69	$379.58	$659.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.59 / $83.69 / $168.35	Professional	26	$78.59	$83.69	$168.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $179.38 / $300.02 / $479.30	Professional	TC	$179.38	$300.02	$479.30