Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $213.80 / $263.03 / $288.40	Facility	26	$213.80	$263.03	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $660.69	Professional		$181.97	$275.42	$660.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $67.61 / $158.49	Professional	26	$51.29	$67.61	$158.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $213.80 / $501.19	Professional	TC	$128.82	$213.80	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $54.95 / $109.65	Professional	26	$45.71	$54.95	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $457.09	Professional		$199.53	$257.04	$457.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $67.61 / $117.49	Professional	26	$52.48	$67.61	$117.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $190.55 / $331.13	Professional	TC	$147.91	$190.55	$331.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.45 / $67.61 / $97.72	Facility	26	$14.45	$67.61	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $316.23 / $602.56	Professional		$165.96	$316.23	$602.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $70.79 / $128.82	Professional	26	$46.77	$70.79	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $229.09 / $467.74	Professional	TC	$120.23	$229.09	$467.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $436.52 / $562.34 / $562.34	Facility	26	$436.52	$562.34	$562.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $354.81 / $2,290.87	Professional		$199.53	$354.81	$2,290.87
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $63.10 / $524.81	Professional	26	$51.29	$63.10	$524.81
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $302.00 / $2,398.83	Professional	TC	$144.54	$302.00	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $489.78	Professional		$199.53	$302.00	$489.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $54.95 / $102.33	Professional	26	$51.29	$54.95	$102.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $239.88 / $371.54	Professional	TC	$144.54	$239.88	$371.54