Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.40 / $151.25 / $220.54	Facility	26	$76.40	$151.25	$220.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.73 / $272.22 / $453.38	Professional		$200.73	$272.22	$453.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $58.49 / $121.18	Professional	26	$50.07	$58.49	$121.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.96 / $222.12 / $364.76	Professional	TC	$144.96	$222.12	$364.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.02 / $200.11 / $273.11	Professional		$177.02	$200.11	$273.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.50 / $63.21 / $90.22	Professional	26	$41.50	$63.21	$90.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.73 / $231.70 / $289.62	Professional		$202.73	$231.70	$289.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.65 / $54.46 / $68.06	Professional	26	$47.65	$54.46	$68.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $155.09 / $177.24 / $221.55	Professional	TC	$155.09	$177.24	$221.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.89 / $62.89 / $62.89	Facility	26	$62.89	$62.89	$62.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.41 / $293.51 / $479.00	Professional		$165.41	$293.51	$479.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.52 / $68.56 / $118.11	Professional	26	$40.52	$68.56	$118.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $126.36 / $220.81 / $368.91	Professional	TC	$126.36	$220.81	$368.91
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $514.88 / $514.88 / $514.88	Facility	26	$514.88	$514.88	$514.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $192.03 / $273.14 / $1,627.19	Professional		$192.03	$273.14	$1,627.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $47.03 / $55.54 / $345.18	Professional	26	$47.03	$55.54	$345.18
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $141.72 / $226.11 / $1,330.47	Professional	TC	$141.72	$226.11	$1,330.47
United Facility/Professional Professional Modifier Low / Median / High Price $191.57 / $253.04 / $425.09	Professional		$191.57	$253.04	$425.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.03 / $50.53 / $105.13	Professional	26	$47.03	$50.53	$105.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.53 / $199.96 / $362.68	Professional	TC	$141.53	$199.96	$362.68