Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.31 / $201.76 / $388.24	Facility	26	$144.31	$201.76	$388.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $475.00 / $1,459.50	Professional		$370.50	$475.00	$1,459.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.52 / $140.00 / $463.08	Professional	26	$103.52	$140.00	$463.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.35 / $335.00 / $631.87	Professional	TC	$259.35	$335.00	$631.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $253.50 / $298.20 / $344.00	Professional		$253.50	$298.20	$344.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.51 / $139.15 / $183.90	Professional	26	$79.51	$139.15	$183.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.32 / $387.79 / $484.74	Professional		$339.32	$387.79	$484.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $101.21 / $103.80 / $129.75	Professional	26	$101.21	$103.80	$129.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $248.49 / $283.99 / $354.99	Professional	TC	$248.49	$283.99	$354.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.86 / $118.86 / $118.86	Facility	26	$118.86	$118.86	$118.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.35 / $677.45 / $1,262.89	Professional		$293.35	$677.45	$1,262.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.64 / $130.76 / $223.49	Professional	26	$75.64	$130.76	$223.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $205.30 / $478.28 / $983.94	Professional	TC	$205.30	$478.28	$983.94
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $973.04 / $973.04 / $973.04	Facility	26	$973.04	$973.04	$973.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $337.13 / $728.71 / $6,025.38	Professional		$337.13	$728.71	$6,025.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $91.80 / $111.88 / $891.52	Professional	26	$91.80	$111.88	$891.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $242.03 / $609.54 / $5,457.89	Professional	TC	$242.03	$609.54	$5,457.89
United Facility/Professional Professional Modifier Low / Median / High Price $337.13 / $573.44 / $924.30	Professional		$337.13	$573.44	$924.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.80 / $98.30 / $205.16	Professional	26	$91.80	$98.30	$205.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $242.03 / $480.27 / $723.44	Professional	TC	$242.03	$480.27	$723.44