Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.59 / $90.96 / $722.00	Facility	26	$62.59	$90.96	$722.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.21 / $232.80 / $382.75	Professional		$147.21	$232.80	$382.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.14 / $54.62 / $168.86	Professional	26	$44.14	$54.62	$168.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $92.02 / $177.61 / $291.63	Professional	TC	$92.02	$177.61	$291.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.97 / $115.46 / $369.71	Professional		$85.97	$115.46	$369.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.65 / $44.81 / $77.52	Professional	26	$35.65	$44.81	$77.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.16 / $148.75 / $185.94	Professional		$130.16	$148.75	$185.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.94 / $46.78 / $58.48	Professional	26	$40.94	$46.78	$58.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $89.22 / $101.97 / $127.46	Professional	TC	$89.22	$101.97	$127.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.02 / $54.02 / $54.02	Facility	26	$54.02	$54.02	$54.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.27 / $242.62 / $398.25	Professional		$113.27	$242.62	$398.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.63 / $63.38 / $103.64	Professional	26	$34.63	$63.38	$103.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.61 / $178.83 / $298.05	Professional	TC	$73.61	$178.83	$298.05
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $442.24 / $442.24 / $442.24	Facility	26	$442.24	$442.24	$442.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.36 / $249.95 / $1,609.32	Professional		$134.36	$249.95	$1,609.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $43.56 / $51.25 / $379.76	Professional	26	$43.56	$51.25	$379.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $90.80 / $192.52 / $1,331.00	Professional	TC	$90.80	$192.52	$1,331.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.36 / $204.35 / $338.38	Professional		$134.36	$204.35	$338.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.56 / $48.80 / $96.43	Professional	26	$43.56	$48.80	$96.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.80 / $156.87 / $237.89	Professional	TC	$90.80	$156.87	$237.89