Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.59 / $90.96 / $177.09	Facility	26	$62.59	$90.96	$177.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.35 / $221.45 / $467.13	Professional		$130.35	$221.45	$467.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.82 / $55.00 / $208.98	Professional	26	$43.82	$55.00	$208.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $117.06 / $197.52 / $291.63	Professional	TC	$117.06	$197.52	$291.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.58 / $142.41 / $160.97	Professional		$101.58	$142.41	$160.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.65 / $62.73 / $86.89	Professional	26	$35.65	$62.73	$86.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.58 / $177.80 / $222.25	Professional		$155.58	$177.80	$222.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.94 / $46.78 / $58.66	Professional	26	$40.94	$46.78	$58.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $114.64 / $131.02 / $163.77	Professional	TC	$114.64	$131.02	$163.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.02 / $54.02 / $54.02	Facility	26	$54.02	$54.02	$54.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.07 / $247.66 / $390.90	Professional		$134.07	$247.66	$390.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.63 / $60.83 / $103.18	Professional	26	$34.63	$60.83	$103.18
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $231.34 / $231.34 / $231.34	Professional	50	$231.34	$231.34	$231.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $98.93 / $175.98 / $288.02	Professional	TC	$98.93	$175.98	$288.02
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $442.24 / $442.24 / $442.24	Facility	26	$442.24	$442.24	$442.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.30 / $229.34 / $1,378.78	Professional		$154.30	$229.34	$1,378.78
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $42.25 / $51.12 / $300.10	Professional	26	$42.25	$51.12	$300.10
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $110.74 / $184.89 / $1,103.98	Professional	TC	$110.74	$184.89	$1,103.98
United Facility/Professional Professional Modifier Low / Median / High Price $154.30 / $209.68 / $369.60	Professional		$154.30	$209.68	$369.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.25 / $47.21 / $92.95	Professional	26	$42.25	$47.21	$92.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.86 / $155.07 / $275.52	Professional	TC	$109.86	$155.07	$275.52