Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $142.81 / $309.22 / $412.26	Facility	26	$142.81	$309.22	$412.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.14 / $488.59 / $937.52	Professional		$370.14	$488.59	$937.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.29 / $140.00 / $284.77	Professional	26	$102.29	$140.00	$284.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $260.62 / $348.53 / $631.87	Professional	TC	$260.62	$348.53	$631.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $267.62 / $321.04 / $370.14	Professional		$267.62	$321.04	$370.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.61 / $79.19 / $232.83	Professional	26	$77.61	$79.19	$232.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.56 / $446.35 / $557.94	Professional		$390.56	$446.35	$557.94
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 $301.50 / $344.57 / $430.71	Professional	TC	$301.50	$344.57	$430.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.87 / $116.87 / $116.87	Facility	26	$116.87	$116.87	$116.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.57 / $762.78 / $1,286.43	Professional		$336.57	$762.78	$1,286.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.45 / $126.79 / $217.63	Professional	26	$74.45	$126.79	$217.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $251.70 / $569.90 / $981.80	Professional	TC	$251.70	$569.90	$981.80
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $957.12 / $957.12 / $957.12	Facility	26	$957.12	$957.12	$957.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $390.20 / $707.18 / $5,981.06	Professional		$390.20	$707.18	$5,981.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.29 / $104.28 / $894.00	Professional	26	$87.29	$104.28	$894.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $296.95 / $599.94 / $5,438.76	Professional	TC	$296.95	$599.94	$5,438.76
United Facility/Professional Professional Modifier Low / Median / High Price $390.20 / $550.87 / $982.72	Professional		$390.20	$550.87	$982.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.29 / $93.44 / $195.13	Professional	26	$87.29	$93.44	$195.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $296.95 / $449.31 / $779.79	Professional	TC	$296.95	$449.31	$779.79