Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.45 / $157.50 / $284.19	Facility	26	$98.45	$157.50	$284.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.50 / $475.00 / $725.61	Professional		$237.50	$475.00	$725.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.26 / $140.00 / $291.00	Professional	26	$71.26	$140.00	$291.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $135.04 / $335.00 / $422.10	Professional	TC	$135.04	$335.00	$422.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.14 / $169.35 / $318.45	Professional		$126.14	$169.35	$318.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.47 / $93.58 / $129.66	Professional	26	$53.47	$93.58	$129.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.70 / $217.94 / $272.43	Professional		$190.70	$217.94	$272.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.08 / $69.80 / $87.25	Professional	26	$61.08	$69.80	$87.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $129.63 / $148.13 / $185.18	Professional	TC	$129.63	$148.13	$185.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.26 / $80.26 / $80.26	Facility	26	$80.26	$80.26	$80.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.79 / $396.29 / $701.87	Professional		$159.79	$396.29	$701.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.87 / $91.50 / $153.60	Professional	26	$51.87	$91.50	$153.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $105.25 / $267.44 / $559.38	Professional	TC	$105.25	$267.44	$559.38
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $656.72 / $656.72 / $656.72	Facility	26	$656.72	$656.72	$656.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $187.43 / $454.95 / $3,174.82	Professional		$187.43	$454.95	$3,174.82
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $64.67 / $75.95 / $609.25	Professional	26	$64.67	$75.95	$609.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $122.70 / $325.76 / $2,772.01	Professional	TC	$122.70	$325.76	$2,772.01
United Facility/Professional Professional Modifier Low / Median / High Price $187.43 / $372.06 / $519.75	Professional		$187.43	$372.06	$519.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.52 / $69.29 / $139.65	Professional	26	$64.52	$69.29	$139.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $122.70 / $265.30 / $461.87	Professional	TC	$122.70	$265.30	$461.87