Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.84 / $105.86 / $204.83	Facility	26	$72.84	$105.86	$204.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $274.70 / $462.25	Professional		$171.00	$274.70	$462.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $58.83 / $208.59	Professional	26	$50.07	$58.83	$208.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $224.62 / $368.85	Professional	TC	$119.70	$224.62	$368.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.91 / $160.56 / $166.98	Professional		$109.91	$160.56	$166.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.72 / $63.21 / $101.15	Professional	26	$41.72	$63.21	$101.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.52 / $191.45 / $239.31	Professional		$167.52	$191.45	$239.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.65 / $54.46 / $68.06	Professional	26	$47.65	$54.46	$68.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $119.87 / $136.99 / $171.24	Professional	TC	$119.87	$136.99	$171.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.89 / $62.89 / $62.89	Facility	26	$62.89	$62.89	$62.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $279.22 / $472.98	Professional		$137.72	$279.22	$472.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.52 / $68.56 / $118.11	Professional	26	$40.52	$68.56	$118.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.20 / $217.00 / $361.67	Professional	TC	$97.20	$217.00	$361.67
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $514.88 / $514.88 / $514.88	Facility	26	$514.88	$514.88	$514.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $167.19 / $274.43 / $1,638.03	Professional		$167.19	$274.43	$1,638.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $47.35 / $56.23 / $376.34	Professional	26	$47.35	$56.23	$376.34
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $116.88 / $227.08 / $1,335.34	Professional	TC	$116.88	$227.08	$1,335.34
United Facility/Professional Professional Modifier Low / Median / High Price $167.19 / $244.48 / $422.50	Professional		$167.19	$244.48	$422.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.35 / $50.58 / $111.37	Professional	26	$47.35	$50.58	$111.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $116.88 / $196.15 / $294.35	Professional	TC	$116.88	$196.15	$294.35