Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.84 / $152.16 / $221.86	Facility	26	$76.84	$152.16	$221.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.20 / $299.31 / $618.96	Professional		$226.20	$299.31	$618.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $58.92 / $202.51	Professional	26	$50.07	$58.92	$202.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $170.44 / $232.07 / $391.93	Professional	TC	$170.44	$232.07	$391.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $218.28 / $415.94	Professional		$157.63	$218.28	$415.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.50 / $73.01 / $124.49	Professional	26	$41.50	$73.01	$124.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.33 / $264.38 / $330.47	Professional		$231.33	$264.38	$330.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.65 / $54.46 / $68.06	Professional	26	$47.65	$54.46	$68.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $183.68 / $209.92 / $262.39	Professional	TC	$183.68	$209.92	$262.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.89 / $62.89 / $62.89	Facility	26	$62.89	$62.89	$62.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.98 / $316.30 / $520.08	Professional		$183.98	$316.30	$520.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.52 / $68.56 / $118.11	Professional	26	$40.52	$68.56	$118.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.55 / $243.80 / $401.28	Professional	TC	$144.55	$243.80	$401.28
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $514.88 / $514.88 / $514.88	Facility	26	$514.88	$514.88	$514.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.22 / $284.08 / $1,817.09	Professional		$208.22	$284.08	$1,817.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $47.35 / $56.23 / $364.90	Professional	26	$47.35	$56.23	$364.90
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $158.59 / $236.74 / $1,526.12	Professional	TC	$158.59	$236.74	$1,526.12
United Facility/Professional Professional Modifier Low / Median / High Price $207.10 / $270.35 / $462.44	Professional		$207.10	$270.35	$462.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.35 / $50.64 / $107.91	Professional	26	$47.35	$50.64	$107.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $153.18 / $197.76 / $363.67	Professional	TC	$153.18	$197.76	$363.67