Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $151.77 / $210.79 / $438.11	Facility	26	$151.77	$210.79	$438.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.63 / $475.00 / $895.94	Professional		$340.63	$475.00	$895.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.70 / $143.00 / $363.00	Professional	26	$108.70	$143.00	$363.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $237.52 / $335.00 / $486.67	Professional	TC	$237.52	$335.00	$486.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $222.79 / $283.14 / $1,392.33	Professional		$222.79	$283.14	$1,392.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $83.07 / $103.84 / $191.94	Professional	26	$83.07	$103.84	$191.94
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $203.93 / $203.93 / $203.93	Professional	TC	$203.93	$203.93	$203.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.37 / $366.14 / $457.67	Professional		$320.37	$366.14	$457.67
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 $225.48 / $257.69 / $322.11	Professional	TC	$225.48	$257.69	$322.11
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 $267.39 / $643.24 / $1,155.81	Professional		$267.39	$643.24	$1,155.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.04 / $137.25 / $235.53	Professional	26	$80.04	$137.25	$235.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $184.30 / $426.21 / $977.79	Professional	TC	$184.30	$426.21	$977.79
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 $316.89 / $715.52 / $6,146.58	Professional		$316.89	$715.52	$6,146.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $95.99 / $114.18 / $921.60	Professional	26	$95.99	$114.18	$921.60
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $217.19 / $530.98 / $5,551.18	Professional	TC	$217.19	$530.98	$5,551.18
United Facility/Professional Professional Modifier Low / Median / High Price $316.89 / $504.69 / $943.65	Professional		$316.89	$504.69	$943.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.99 / $101.78 / $214.56	Professional	26	$95.99	$101.78	$214.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $217.19 / $451.33 / $715.06	Professional	TC	$217.19	$451.33	$715.06