Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.47 / $181.45 / $835.00	Facility	26	$81.47	$181.45	$835.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.62 / $282.68 / $514.13	Professional		$172.62	$282.68	$514.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $61.64 / $140.47	Professional	26	$51.30	$61.64	$140.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $229.91 / $377.54	Professional	TC	$119.70	$229.91	$377.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.78 / $77.00 / $106.71	Professional	26	$43.78	$77.00	$106.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.81 / $195.22 / $244.02	Professional		$170.81	$195.22	$244.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.25 / $57.43 / $71.79	Professional	26	$50.25	$57.43	$71.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $120.56 / $137.78 / $172.23	Professional	TC	$120.56	$137.78	$172.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.34 / $66.34 / $66.34	Facility	26	$66.34	$66.34	$66.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $306.73 / $502.49	Professional		$142.00	$306.73	$502.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.16 / $69.76 / $124.34	Professional	26	$42.16	$69.76	$124.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.48 / $240.06 / $370.19	Professional	TC	$97.48	$240.06	$370.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $542.79 / $542.79 / $542.79	Facility	26	$542.79	$542.79	$542.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.95 / $297.30 / $1,884.77	Professional		$169.95	$297.30	$1,884.77
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $49.60 / $59.24 / $434.24	Professional	26	$49.60	$59.24	$434.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $116.88 / $238.47 / $1,950.00	Professional	TC	$116.88	$238.47	$1,950.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.95 / $249.10 / $422.81	Professional		$169.95	$249.10	$422.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.60 / $53.07 / $112.25	Professional	26	$49.60	$53.07	$112.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $116.88 / $198.47 / $295.62	Professional	TC	$116.88	$198.47	$295.62