Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.59 / $90.96 / $177.09	Facility	26	$62.59	$90.96	$177.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.02 / $221.45 / $613.25	Professional		$113.02	$221.45	$613.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.83 / $55.00 / $177.29	Professional	26	$43.83	$55.00	$177.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $102.09 / $177.61 / $291.63	Professional	TC	$102.09	$177.61	$291.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.75 / $108.39 / $130.19	Professional		$85.75	$108.39	$130.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.85 / $53.77 / $83.37	Professional	26	$35.85	$53.77	$83.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.82 / $148.36 / $185.45	Professional		$129.82	$148.36	$185.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.94 / $46.78 / $58.48	Professional	26	$40.94	$46.78	$58.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $88.88 / $101.58 / $126.97	Professional	TC	$88.88	$101.58	$126.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.02 / $54.02 / $54.02	Facility	26	$54.02	$54.02	$54.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.72 / $245.76 / $389.77	Professional		$112.72	$245.76	$389.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.63 / $60.83 / $103.18	Professional	26	$34.63	$60.83	$103.18
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $231.80 / $231.80 / $231.80	Professional	50	$231.80	$231.80	$231.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.65 / $173.12 / $283.85	Professional	TC	$71.65	$173.12	$283.85
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $442.24 / $442.24 / $442.24	Facility	26	$442.24	$442.24	$442.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $133.75 / $229.34 / $1,378.78	Professional		$133.75	$229.34	$1,378.78
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $41.96 / $51.12 / $300.10	Professional	26	$41.96	$51.12	$300.10
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $90.19 / $182.66 / $1,332.00	Professional	TC	$90.19	$182.66	$1,332.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.75 / $197.61 / $327.58	Professional		$133.75	$197.61	$327.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.96 / $47.21 / $99.36	Professional	26	$41.96	$47.21	$99.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.19 / $155.65 / $227.64	Professional	TC	$90.19	$155.65	$227.64