Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.14 / $99.34 / $208.21	Facility	26	$62.14	$99.34	$208.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.08 / $225.12 / $693.07	Professional		$150.08	$225.12	$693.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.78 / $55.17 / $183.86	Professional	26	$46.78	$55.17	$183.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $90.97 / $173.87 / $285.50	Professional	TC	$90.97	$173.87	$285.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.80 / $118.10 / $133.50	Professional		$92.80	$118.10	$133.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.15 / $68.52 / $94.94	Professional	26	$39.15	$68.52	$94.94
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $61.62 / $61.62 / $61.62	Professional	TC	$61.62	$61.62	$61.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.55 / $151.47 / $189.35	Professional		$132.55	$151.47	$189.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.72 / $51.10 / $63.88	Professional	26	$44.72	$51.10	$63.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $87.83 / $100.38 / $125.47	Professional	TC	$87.83	$100.38	$125.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.04 / $59.04 / $59.04	Facility	26	$59.04	$59.04	$59.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $225.00 / $372.87	Professional		$115.97	$225.00	$372.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.04 / $63.38 / $109.91	Professional	26	$38.04	$63.38	$109.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.09 / $161.38 / $280.01	Professional	TC	$71.09	$161.38	$280.01
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $482.96 / $482.96 / $482.96	Facility	26	$482.96	$482.96	$482.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.47 / $230.54 / $1,593.12	Professional		$125.47	$230.54	$1,593.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $44.45 / $52.76 / $325.83	Professional	26	$44.45	$52.76	$325.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $78.23 / $177.06 / $1,318.35	Professional	TC	$78.23	$177.06	$1,318.35
United Facility/Professional Professional Modifier Low / Median / High Price $125.47 / $193.55 / $317.36	Professional		$125.47	$193.55	$317.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.45 / $47.59 / $99.36	Professional	26	$44.45	$47.59	$99.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.23 / $136.47 / $207.39	Professional	TC	$78.23	$136.47	$207.39