Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.89 / $71.81 / $200.92	Facility	26	$56.89	$71.81	$200.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.81 / $232.17 / $382.75	Professional		$146.81	$232.17	$382.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.14 / $51.92 / $115.42	Professional	26	$44.14	$51.92	$115.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $98.31 / $177.61 / $247.99	Professional	TC	$98.31	$177.61	$247.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.21 / $115.17 / $130.19	Professional		$45.21	$115.17	$130.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.97 / $44.81 / $75.34	Professional	26	$34.97	$44.81	$75.34
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $88.42 / $88.42 / $88.42	Professional	TC	$88.42	$88.42	$88.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.82 / $148.36 / $185.45	Professional		$129.82	$148.36	$185.45
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 $88.88 / $101.58 / $126.97	Professional	TC	$88.88	$101.58	$126.97
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 $108.58 / $255.75 / $397.34	Professional		$108.58	$255.75	$397.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.38 / $62.05 / $103.64	Professional	26	$34.38	$62.05	$103.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.93 / $181.46 / $297.55	Professional	TC	$71.93	$181.46	$297.55
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 / $249.62 / $1,609.32	Professional		$134.36	$249.62	$1,609.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $41.66 / $51.12 / $379.76	Professional	26	$41.66	$51.12	$379.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $90.80 / $191.91 / $1,318.35	Professional	TC	$90.80	$191.91	$1,318.35
United Facility/Professional Professional Modifier Low / Median / High Price $134.36 / $200.50 / $333.76	Professional		$134.36	$200.50	$333.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.66 / $47.41 / $93.99	Professional	26	$41.66	$47.41	$93.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.80 / $158.84 / $256.62	Professional	TC	$90.80	$158.84	$256.62