Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.96 / $278.10 / $347.60	Facility	26	$114.96	$278.10	$347.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.63 / $473.26 / $671.22	Professional		$258.63	$473.26	$671.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.72 / $128.00 / $193.17	Professional	26	$77.72	$128.00	$193.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $335.00 / $370.28	Professional	TC	$187.50	$335.00	$370.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $202.92 / $202.92 / $202.92	Professional		$202.92	$202.92	$202.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.86 / $61.86 / $62.89	Professional	26	$61.86	$61.86	$62.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.04 / $309.76 / $387.20	Professional		$271.04	$309.76	$387.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.02 / $81.16 / $101.45	Professional	26	$71.02	$81.16	$101.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $200.03 / $228.60 / $285.75	Professional	TC	$200.03	$228.60	$285.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.41 / $93.41 / $93.41	Facility	26	$93.41	$93.41	$93.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.06 / $540.54 / $844.26	Professional		$227.06	$540.54	$844.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.27 / $102.46 / $176.15	Professional	26	$60.27	$102.46	$176.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $163.57 / $381.48 / $715.37	Professional	TC	$163.57	$381.48	$715.37
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $764.32 / $764.32 / $764.32	Facility	26	$764.32	$764.32	$764.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $268.11 / $538.76 / $3,389.77	Professional		$268.11	$538.76	$3,389.77
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $70.54 / $83.48 / $657.14	Professional	26	$70.54	$83.48	$657.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $192.64 / $455.25 / $2,953.83	Professional	TC	$192.64	$455.25	$2,953.83
United Facility/Professional Professional Modifier Low / Median / High Price $268.11 / $455.10 / $678.15	Professional		$268.11	$455.10	$678.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.54 / $75.47 / $162.80	Professional	26	$70.54	$75.47	$162.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $192.64 / $336.90 / $521.78	Professional	TC	$192.64	$336.90	$521.78