Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $119.25 / $288.49 / $360.59	Facility	26	$119.25	$288.49	$360.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.51 / $475.00 / $796.11	Professional		$354.51	$475.00	$796.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.42 / $140.00 / $395.04	Professional	26	$85.42	$140.00	$395.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.35 / $335.00 / $569.94	Professional	TC	$259.35	$335.00	$569.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $112.88 / $112.88 / $112.88	Professional	26	$112.88	$112.88	$112.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.85 / $387.26 / $484.07	Professional		$338.85	$387.26	$484.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.66 / $84.18 / $105.23	Professional	26	$73.66	$84.18	$105.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $265.19 / $303.07 / $378.84	Professional	TC	$265.19	$303.07	$378.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.95 / $96.95 / $96.95	Facility	26	$96.95	$96.95	$96.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.00 / $568.50 / $848.26	Professional		$290.00	$568.50	$848.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.75 / $107.14 / $182.94	Professional	26	$62.75	$107.14	$182.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $216.34 / $447.62 / $687.31	Professional	TC	$216.34	$447.62	$687.31
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $793.04 / $793.04 / $793.04	Facility	26	$793.04	$793.04	$793.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.61 / $509.57 / $3,032.66	Professional		$331.61	$509.57	$3,032.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $74.09 / $87.40 / $854.80	Professional	26	$74.09	$87.40	$854.80
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $253.69 / $435.48 / $2,562.41	Professional	TC	$253.69	$435.48	$2,562.41
United Facility/Professional Professional Modifier Low / Median / High Price $331.61 / $443.82 / $767.00	Professional		$331.61	$443.82	$767.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.09 / $77.92 / $165.60	Professional	26	$74.09	$77.92	$165.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $253.69 / $368.59 / $632.63	Professional	TC	$253.69	$368.59	$632.63