Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $150.77 / $210.79 / $404.49	Facility	26	$150.77	$210.79	$404.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.49 / $475.00 / $1,496.80	Professional		$353.49	$475.00	$1,496.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.15 / $145.65 / $518.70	Professional	26	$111.15	$145.65	$518.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $238.22 / $335.00 / $488.02	Professional	TC	$238.22	$335.00	$488.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $211.22 / $283.73 / $357.84	Professional		$211.22	$283.73	$357.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $84.38 / $145.38 / $201.58	Professional	26	$84.38	$145.38	$201.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.07 / $366.94 / $458.67	Professional		$321.07	$366.94	$458.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $94.89 / $108.45 / $135.56	Professional	26	$94.89	$108.45	$135.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $226.18 / $258.49 / $323.11	Professional	TC	$226.18	$258.49	$323.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.22 / $124.22 / $124.22	Facility	26	$124.22	$124.22	$124.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.93 / $632.52 / $1,141.83	Professional		$271.93	$632.52	$1,141.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.04 / $143.11 / $235.72	Professional	26	$80.04	$143.11	$235.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $184.82 / $427.53 / $980.02	Professional	TC	$184.82	$427.53	$980.02
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,016.96 / $1,016.96 / $1,016.96	Facility	26	$1,016.96	$1,016.96	$1,016.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $317.50 / $725.03 / $6,199.75	Professional		$317.50	$725.03	$6,199.75
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $99.70 / $117.29 / $931.20	Professional	26	$99.70	$117.29	$931.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $217.80 / $531.70 / $5,551.18	Professional	TC	$217.80	$531.70	$5,551.18
United Facility/Professional Professional Modifier Low / Median / High Price $317.50 / $529.91 / $924.15	Professional		$317.50	$529.91	$924.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $99.52 / $110.05 / $215.08	Professional	26	$99.52	$110.05	$215.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $217.80 / $376.30 / $746.01	Professional	TC	$217.80	$376.30	$746.01