Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.79 / $287.39 / $359.21	Facility	26	$118.79	$287.39	$359.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.24 / $388.27 / $618.64	Professional		$254.24	$388.27	$618.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.23 / $90.18 / $130.56	Professional	26	$70.23	$90.18	$130.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.49 / $309.93 / $508.96	Professional	TC	$168.49	$309.93	$508.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $65.72 / $193.25 / $193.25	Professional	26	$65.72	$193.25	$193.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.58 / $303.52 / $379.40	Professional		$265.58	$303.52	$379.40
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 $191.70 / $219.09 / $273.86	Professional	TC	$191.70	$219.09	$273.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.97 / $96.97 / $96.97	Facility	26	$96.97	$96.97	$96.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.00 / $469.30 / $735.61	Professional		$253.00	$469.30	$735.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.93 / $103.42 / $182.78	Professional	26	$61.93	$103.42	$182.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $184.38 / $334.44 / $585.74	Professional	TC	$184.38	$334.44	$585.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $792.40 / $792.40 / $792.40	Facility	26	$792.40	$792.40	$792.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $278.54 / $452.55 / $3,081.89	Professional		$278.54	$452.55	$3,081.89
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $74.08 / $87.40 / $554.78	Professional	26	$74.08	$87.40	$554.78
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $200.62 / $365.83 / $2,625.91	Professional	TC	$200.62	$365.83	$2,625.91
United Facility/Professional Professional Modifier Low / Median / High Price $273.93 / $393.23 / $701.49	Professional		$273.93	$393.23	$701.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.08 / $78.70 / $161.34	Professional	26	$74.08	$78.70	$161.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $200.62 / $315.36 / $522.91	Professional	TC	$200.62	$315.36	$522.91