Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.37 / $215.35 / $314.00	Facility	26	$106.37	$215.35	$314.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.80 / $475.00 / $871.42	Professional		$323.80	$475.00	$871.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.53 / $140.00 / $215.35	Professional	26	$80.53	$140.00	$215.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $252.76 / $335.00 / $468.21	Professional	TC	$252.76	$335.00	$468.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $215.94 / $275.02 / $762.46	Professional		$215.94	$275.02	$762.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.11 / $88.78 / $142.07	Professional	26	$57.11	$88.78	$142.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.48 / $361.70 / $452.12	Professional		$316.48	$361.70	$452.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.94 / $76.50 / $95.63	Professional	26	$66.94	$76.50	$95.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $249.54 / $285.19 / $356.49	Professional	TC	$249.54	$285.19	$356.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.30 / $88.30 / $88.30	Facility	26	$88.30	$88.30	$88.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.08 / $574.52 / $861.36	Professional		$272.08	$574.52	$861.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.35 / $96.22 / $165.07	Professional	26	$56.35	$96.22	$165.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $207.37 / $446.77 / $715.31	Professional	TC	$207.37	$446.77	$715.31
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $723.52 / $723.52 / $723.52	Facility	26	$723.52	$723.52	$723.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $315.66 / $519.22 / $3,348.15	Professional		$315.66	$519.22	$3,348.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $66.03 / $78.70 / $586.14	Professional	26	$66.03	$78.70	$586.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $244.49 / $432.31 / $2,941.88	Professional	TC	$244.49	$432.31	$2,941.88
United Facility/Professional Professional Modifier Low / Median / High Price $315.66 / $445.63 / $787.18	Professional		$315.66	$445.63	$787.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.03 / $71.17 / $148.99	Professional	26	$66.03	$71.17	$148.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $244.49 / $352.39 / $615.74	Professional	TC	$244.49	$352.39	$615.74