Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $142.81 / $282.74 / $412.26	Facility	26	$142.81	$282.74	$412.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.32 / $475.00 / $992.18	Professional		$364.32	$475.00	$992.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.71 / $140.00 / $291.11	Professional	26	$87.71	$140.00	$291.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $280.81 / $348.53 / $710.84	Professional	TC	$280.81	$348.53	$710.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.30 / $361.68 / $1,355.29	Professional		$134.30	$361.68	$1,355.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.61 / $79.19 / $189.18	Professional	26	$77.61	$79.19	$189.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $415.97 / $475.39 / $594.24	Professional		$415.97	$475.39	$594.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.06 / $101.78 / $127.23	Professional	26	$89.06	$101.78	$127.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $326.91 / $373.61 / $467.01	Professional	TC	$326.91	$373.61	$467.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.52 / $116.52 / $116.52	Facility	26	$116.52	$116.52	$116.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.91 / $792.37 / $1,293.70	Professional		$349.91	$792.37	$1,293.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.22 / $126.95 / $217.86	Professional	26	$74.22	$126.95	$217.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $271.79 / $617.95 / $1,038.91	Professional	TC	$271.79	$617.95	$1,038.91
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $953.92 / $953.92 / $953.92	Facility	26	$953.92	$953.92	$953.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $413.52 / $748.98 / $5,981.06	Professional		$413.52	$748.98	$5,981.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.61 / $104.84 / $672.78	Professional	26	$87.61	$104.84	$672.78
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $320.26 / $630.91 / $5,438.76	Professional	TC	$320.26	$630.91	$5,438.76
United Facility/Professional Professional Modifier Low / Median / High Price $413.52 / $583.79 / $1,036.22	Professional		$413.52	$583.79	$1,036.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.61 / $93.43 / $199.55	Professional	26	$87.61	$93.43	$199.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $320.26 / $481.13 / $830.64	Professional	TC	$320.26	$481.13	$830.64