Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.27 / $286.11 / $357.62	Facility	26	$118.27	$286.11	$357.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.49 / $475.00 / $532.00	Professional		$260.49	$475.00	$532.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.17 / $140.00 / $186.11	Professional	26	$83.17	$140.00	$186.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $335.00 / $368.50	Professional	TC	$187.50	$335.00	$368.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.37 / $65.67 / $80.47	Professional	26	$64.37	$65.67	$80.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.50 / $311.43 / $389.29	Professional		$272.50	$311.43	$389.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.88 / $84.43 / $105.54	Professional	26	$73.88	$84.43	$105.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $198.63 / $227.00 / $283.75	Professional	TC	$198.63	$227.00	$283.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.82 / $96.82 / $96.82	Facility	26	$96.82	$96.82	$96.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.41 / $544.41 / $851.28	Professional		$227.41	$544.41	$851.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.48 / $105.87 / $181.64	Professional	26	$62.48	$105.87	$181.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.19 / $378.00 / $718.37	Professional	TC	$162.19	$378.00	$718.37
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $792.16 / $792.16 / $792.16	Facility	26	$792.16	$792.16	$792.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $268.11 / $540.78 / $3,447.72	Professional		$268.11	$540.78	$3,447.72
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $72.80 / $85.88 / $665.40	Professional	26	$72.80	$85.88	$665.40
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $190.49 / $453.00 / $2,996.90	Professional	TC	$190.49	$453.00	$2,996.90
United Facility/Professional Professional Modifier Low / Median / High Price $268.11 / $414.16 / $677.48	Professional		$268.11	$414.16	$677.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.80 / $77.91 / $160.71	Professional	26	$72.80	$77.91	$160.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.49 / $382.18 / $501.97	Professional	TC	$190.49	$382.18	$501.97