Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.73 / $204.97 / $256.20	Facility	26	$84.73	$204.97	$256.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.63 / $280.25 / $405.50	Professional		$189.63	$280.25	$405.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.99 / $60.67 / $92.28	Professional	26	$51.99	$60.67	$92.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $132.69 / $220.00 / $327.39	Professional	TC	$132.69	$220.00	$327.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.09 / $68.98 / $110.46	Professional	26	$46.09	$68.98	$110.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.73 / $227.12 / $283.89	Professional		$198.73	$227.12	$283.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.02 / $59.45 / $74.31	Professional	26	$52.02	$59.45	$74.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $146.71 / $167.67 / $209.59	Professional	TC	$146.71	$167.67	$209.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.70 / $68.70 / $68.70	Facility	26	$68.70	$68.70	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.90 / $334.44 / $586.88	Professional		$171.90	$334.44	$586.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.46 / $74.87 / $128.51	Professional	26	$44.46	$74.87	$128.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $278.02 / $463.37	Professional	TC	$119.70	$278.02	$463.37
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $561.91 / $561.91 / $561.91	Facility	26	$561.91	$561.91	$561.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $197.86 / $363.65 / $2,293.84	Professional		$197.86	$363.65	$2,293.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.86 / $61.18 / $523.40	Professional	26	$51.86	$61.18	$523.40
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $142.94 / $298.89 / $2,412.00	Professional	TC	$142.94	$298.89	$2,412.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.86 / $300.60 / $498.32	Professional		$197.86	$300.60	$498.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.86 / $55.18 / $115.92	Professional	26	$51.86	$55.18	$115.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $142.94 / $247.94 / $367.84	Professional	TC	$142.94	$247.94	$367.84