Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.31 / $263.51 / $357.74	Facility	26	$118.31	$263.51	$357.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.92 / $475.00 / $747.20	Professional		$347.92	$475.00	$747.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $140.00 / $199.08	Professional	26	$85.00	$140.00	$199.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.35 / $335.00 / $488.08	Professional	TC	$259.35	$335.00	$488.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.40 / $64.40 / $64.40	Professional	26	$64.40	$64.40	$64.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.65 / $393.88 / $492.35	Professional		$344.65	$393.88	$492.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.88 / $84.43 / $105.54	Professional	26	$73.88	$84.43	$105.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $270.77 / $309.45 / $386.81	Professional	TC	$270.77	$309.45	$386.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.55 / $96.55 / $96.55	Facility	26	$96.55	$96.55	$96.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.05 / $574.26 / $875.14	Professional		$284.05	$574.26	$875.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.14 / $103.28 / $182.40	Professional	26	$61.14	$103.28	$182.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $217.70 / $453.73 / $713.65	Professional	TC	$217.70	$453.73	$713.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $789.92 / $789.92 / $789.92	Facility	26	$789.92	$789.92	$789.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $333.14 / $505.70 / $3,014.38	Professional		$333.14	$505.70	$3,014.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $73.44 / $86.64 / $597.70	Professional	26	$73.44	$86.64	$597.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $255.83 / $432.26 / $2,544.17	Professional	TC	$255.83	$432.26	$2,544.17
United Facility/Professional Professional Modifier Low / Median / High Price $333.14 / $471.32 / $842.65	Professional		$333.14	$471.32	$842.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.44 / $77.79 / $165.75	Professional	26	$73.44	$77.79	$165.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $255.83 / $369.75 / $643.86	Professional	TC	$255.83	$369.75	$643.86