Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.01 / $175.41 / $764.00	Facility	26	$81.01	$175.41	$764.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $282.06 / $462.85	Professional		$171.00	$282.06	$462.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $61.64 / $135.22	Professional	26	$51.30	$61.64	$135.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $229.28 / $371.25	Professional	TC	$119.70	$229.28	$371.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.54 / $76.61 / $130.62	Professional	26	$43.54	$76.61	$130.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.86 / $194.13 / $242.66	Professional		$169.86	$194.13	$242.66
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 $119.86 / $136.97 / $171.23	Professional	TC	$119.86	$136.97	$171.23
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 $140.04 / $281.49 / $496.17	Professional		$140.04	$281.49	$496.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.51 / $70.91 / $124.26	Professional	26	$42.51	$70.91	$124.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $98.37 / $221.51 / $369.19	Professional	TC	$98.37	$221.51	$369.19
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 $169.02 / $296.64 / $1,882.38	Professional		$169.02	$296.64	$1,882.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $49.28 / $59.32 / $434.24	Professional	26	$49.28	$59.32	$434.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $115.95 / $238.47 / $1,906.00	Professional	TC	$115.95	$238.47	$1,906.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.02 / $248.52 / $423.55	Professional		$169.02	$248.52	$423.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.28 / $53.07 / $110.16	Professional	26	$49.28	$53.07	$110.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $115.95 / $197.89 / $304.48	Professional	TC	$115.95	$197.89	$304.48