Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.01 / $111.08 / $233.86	Facility	26	$81.01	$111.08	$233.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $282.06 / $510.94	Professional		$171.00	$282.06	$510.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $61.58 / $158.22	Professional	26	$51.30	$61.58	$158.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $220.00 / $377.04	Professional	TC	$119.70	$220.00	$377.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.50 / $149.50 / $149.50	Professional		$149.50	$149.50	$149.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.54 / $76.61 / $106.12	Professional	26	$43.54	$76.61	$106.12
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $59.28 / $59.28 / $59.28	Professional	TC	$59.28	$59.28	$59.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.17 / $193.34 / $241.67	Professional		$169.17	$193.34	$241.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.00 / $57.14 / $71.43	Professional	26	$50.00	$57.14	$71.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $119.17 / $136.19 / $170.24	Professional	TC	$119.17	$136.19	$170.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.98 / $65.98 / $65.98	Facility	26	$65.98	$65.98	$65.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.94 / $306.73 / $501.27	Professional		$140.94	$306.73	$501.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.89 / $69.31 / $123.66	Professional	26	$41.89	$69.31	$123.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $96.64 / $240.06 / $369.69	Professional	TC	$96.64	$240.06	$369.69
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $540.32 / $540.32 / $540.32	Facility	26	$540.32	$540.32	$540.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $168.72 / $296.97 / $1,882.38	Professional		$168.72	$296.97	$1,882.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $49.28 / $58.27 / $434.24	Professional	26	$49.28	$58.27	$434.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $115.64 / $238.47 / $1,576.92	Professional	TC	$115.64	$238.47	$1,576.92
United Facility/Professional Professional Modifier Low / Median / High Price $168.72 / $249.10 / $419.62	Professional		$168.72	$249.10	$419.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.28 / $53.08 / $110.16	Professional	26	$49.28	$53.08	$110.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $115.64 / $198.47 / $303.68	Professional	TC	$115.64	$198.47	$303.68