Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.73 / $287.22 / $359.00	Facility	26	$118.73	$287.22	$359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.77 / $475.00 / $608.72	Professional		$282.77	$475.00	$608.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $129.72 / $186.11	Professional	26	$85.00	$129.72	$186.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $195.98 / $335.00 / $376.40	Professional	TC	$195.98	$335.00	$376.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $65.91 / $98.08 / $98.08	Professional	26	$65.91	$98.08	$98.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.68 / $317.33 / $396.68	Professional		$277.68	$317.33	$396.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.17 / $84.76 / $105.95	Professional	26	$74.17	$84.76	$105.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $203.51 / $232.58 / $290.73	Professional	TC	$203.51	$232.58	$290.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.16 / $97.16 / $97.16	Facility	26	$97.16	$97.16	$97.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.03 / $573.58 / $874.11	Professional		$230.03	$573.58	$874.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.47 / $108.37 / $184.66	Professional	26	$61.47	$108.37	$184.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $166.03 / $410.03 / $722.88	Professional	TC	$166.03	$410.03	$722.88
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $795.36 / $795.36 / $795.36	Facility	26	$795.36	$795.36	$795.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $272.41 / $546.91 / $3,482.54	Professional		$272.41	$546.91	$3,482.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $77.91 / $91.45 / $642.27	Professional	26	$77.91	$91.45	$642.27
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $194.49 / $456.44 / $2,996.90	Professional	TC	$194.49	$456.44	$2,996.90
United Facility/Professional Professional Modifier Low / Median / High Price $272.41 / $454.56 / $689.03	Professional		$272.41	$454.56	$689.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.91 / $83.08 / $172.49	Professional	26	$77.91	$83.08	$172.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.49 / $346.17 / $509.57	Professional	TC	$194.49	$346.17	$509.57