Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.01 / $195.98 / $244.96	Facility	26	$81.01	$195.98	$244.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.45 / $318.64 / $584.91	Professional		$226.45	$318.64	$584.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $61.07 / $87.74	Professional	26	$51.30	$61.07	$87.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.97 / $242.20 / $362.21	Professional	TC	$168.97	$242.20	$362.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.88 / $211.29 / $250.67	Professional		$204.88	$211.29	$250.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.54 / $66.36 / $130.62	Professional	26	$43.54	$66.36	$130.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.70 / $276.22 / $345.28	Professional		$241.70	$276.22	$345.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.00 / $57.14 / $71.43	Professional	26	$50.00	$57.14	$71.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $191.70 / $219.08 / $273.85	Professional	TC	$191.70	$219.08	$273.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.64 / $65.64 / $65.64	Facility	26	$65.64	$65.64	$65.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.70 / $370.02 / $586.27	Professional		$211.70	$370.02	$586.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.51 / $71.98 / $123.66	Professional	26	$42.51	$71.98	$123.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.81 / $289.11 / $469.02	Professional	TC	$169.81	$289.11	$469.02
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $537.20 / $537.20 / $537.20	Facility	26	$537.20	$537.20	$537.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.98 / $356.24 / $2,195.67	Professional		$234.98	$356.24	$2,195.67
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $49.28 / $58.27 / $439.20	Professional	26	$49.28	$58.27	$439.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $181.91 / $305.64 / $1,890.23	Professional	TC	$181.91	$305.64	$1,890.23
United Facility/Professional Professional Modifier Low / Median / High Price $228.42 / $318.55 / $588.84	Professional		$228.42	$318.55	$588.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.28 / $53.07 / $110.16	Professional	26	$49.28	$53.07	$110.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $178.87 / $256.81 / $457.44	Professional	TC	$178.87	$256.81	$457.44