Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $151.77 / $300.47 / $438.11	Facility	26	$151.77	$300.47	$438.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.98 / $475.00 / $855.63	Professional		$341.98	$475.00	$855.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.16 / $140.00 / $371.20	Professional	26	$108.16	$140.00	$371.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $227.54 / $335.00 / $462.42	Professional	TC	$227.54	$335.00	$462.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.69 / $309.02 / $1,405.60	Professional		$223.69	$309.02	$1,405.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $92.82 / $145.38 / $201.58	Professional	26	$92.82	$145.38	$201.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.77 / $367.74 / $459.67	Professional		$321.77	$367.74	$459.67
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 $226.88 / $259.29 / $324.11	Professional	TC	$226.88	$259.29	$324.11
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 $268.32 / $670.85 / $1,232.34	Professional		$268.32	$670.85	$1,232.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.52 / $141.77 / $235.95	Professional	26	$78.52	$141.77	$235.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $185.24 / $461.94 / $994.34	Professional	TC	$185.24	$461.94	$994.34
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 $318.11 / $689.47 / $6,195.24	Professional		$318.11	$689.47	$6,195.24
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 $218.41 / $531.00 / $5,551.18	Professional	TC	$218.41	$531.00	$5,551.18
United Facility/Professional Professional Modifier Low / Median / High Price $318.11 / $523.66 / $835.37	Professional		$318.11	$523.66	$835.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $99.52 / $106.76 / $215.08	Professional	26	$99.52	$106.76	$215.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.41 / $416.91 / $720.50	Professional	TC	$218.41	$416.91	$720.50