Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.44 / $138.60 / $261.07	Facility	26	$90.44	$138.60	$261.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.83 / $475.00 / $1,443.00	Professional		$300.83	$475.00	$1,443.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.28 / $140.00 / $264.06	Professional	26	$68.28	$140.00	$264.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $242.77 / $335.00 / $455.72	Professional	TC	$242.77	$335.00	$455.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $197.66 / $266.45 / $635.15	Professional		$197.66	$266.45	$635.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.61 / $61.09 / $88.64	Professional	26	$48.61	$61.09	$88.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.50 / $352.58 / $440.72	Professional		$308.50	$352.58	$440.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.83 / $63.80 / $79.75	Professional	26	$55.83	$63.80	$79.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $252.68 / $288.77 / $360.97	Professional	TC	$252.68	$288.77	$360.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.64 / $73.64 / $73.64	Facility	26	$73.64	$73.64	$73.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.17 / $517.13 / $777.57	Professional		$263.17	$517.13	$777.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.89 / $79.67 / $136.82	Professional	26	$46.89	$79.67	$136.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $208.41 / $439.78 / $666.77	Professional	TC	$208.41	$439.78	$666.77
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $603.28 / $603.28 / $603.28	Facility	26	$603.28	$603.28	$603.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $304.61 / $476.39 / $2,819.97	Professional		$304.61	$476.39	$2,819.97
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.76 / $65.27 / $469.00	Professional	26	$54.76	$65.27	$469.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $245.71 / $421.63 / $2,495.53	Professional	TC	$245.71	$421.63	$2,495.53
United Facility/Professional Professional Modifier Low / Median / High Price $304.61 / $424.58 / $763.33	Professional		$304.61	$424.58	$763.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.76 / $58.90 / $122.41	Professional	26	$54.76	$58.90	$122.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.71 / $350.37 / $578.16	Professional	TC	$245.71	$350.37	$578.16