Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $149.44 / $332.87 / $451.92	Facility	26	$149.44	$332.87	$451.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $522.50 / $1,004.45	Professional		$425.00	$522.50	$1,004.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.06 / $140.00 / $218.86	Professional	26	$107.06	$140.00	$218.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $304.38 / $368.50 / $664.06	Professional	TC	$304.38	$368.50	$664.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $307.47 / $415.11 / $1,353.81	Professional		$307.47	$415.11	$1,353.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $81.43 / $81.43 / $81.43	Professional	26	$81.43	$81.43	$81.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.22 / $546.54 / $683.17	Professional		$478.22	$546.54	$683.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.43 / $106.78 / $133.87	Professional	26	$93.43	$106.78	$133.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $384.79 / $439.76 / $549.70	Professional	TC	$384.79	$439.76	$549.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $122.33 / $122.33 / $122.33	Facility	26	$122.33	$122.33	$122.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.01 / $918.86 / $1,409.43	Professional		$409.01	$918.86	$1,409.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.20 / $133.15 / $229.24	Professional	26	$78.20	$133.15	$229.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $322.17 / $729.35 / $1,138.80	Professional	TC	$322.17	$729.35	$1,138.80
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,000.96 / $1,000.96 / $1,000.96	Facility	26	$1,000.96	$1,000.96	$1,000.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $477.94 / $854.00 / $5,967.97	Professional		$477.94	$854.00	$5,967.97
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $92.12 / $108.68 / $937.83	Professional	26	$92.12	$108.68	$937.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $380.39 / $704.49 / $5,400.50	Professional	TC	$380.39	$704.49	$5,400.50
United Facility/Professional Professional Modifier Low / Median / High Price $477.94 / $715.65 / $1,197.66	Professional		$477.94	$715.65	$1,197.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $92.12 / $98.40 / $205.92	Professional	26	$92.12	$98.40	$205.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $380.39 / $558.97 / $958.01	Professional	TC	$380.39	$558.97	$958.01