Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.01 / $180.44 / $244.96	Facility	26	$81.01	$180.44	$244.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.96 / $334.36 / $563.50	Professional		$197.96	$334.36	$563.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $59.84 / $88.26	Professional	26	$52.78	$59.84	$88.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $139.94 / $266.42 / $458.45	Professional	TC	$139.94	$266.42	$458.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.85 / $147.34 / $173.01	Professional		$135.85	$147.34	$173.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.29 / $43.93 / $66.01	Professional	26	$43.29	$43.93	$66.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.47 / $225.68 / $282.10	Professional		$197.47	$225.68	$282.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.71 / $56.81 / $71.01	Professional	26	$49.71	$56.81	$71.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $147.76 / $168.87 / $211.09	Professional	TC	$147.76	$168.87	$211.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.64 / $65.64 / $65.64	Facility	26	$65.64	$65.64	$65.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.85 / $364.14 / $590.00	Professional		$162.85	$364.14	$590.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.89 / $69.76 / $124.34	Professional	26	$41.89	$69.76	$124.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $296.52 / $473.29	Professional	TC	$119.70	$296.52	$473.29
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $537.20 / $537.20 / $537.20	Facility	26	$537.20	$537.20	$537.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $201.24 / $347.55 / $2,082.64	Professional		$201.24	$347.55	$2,082.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $49.61 / $58.53 / $381.41	Professional	26	$49.61	$58.53	$381.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $148.47 / $297.94 / $1,754.89	Professional	TC	$148.47	$297.94	$1,754.89
United Facility/Professional Professional Modifier Low / Median / High Price $201.24 / $310.44 / $497.18	Professional		$201.24	$310.44	$497.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.61 / $53.09 / $112.45	Professional	26	$49.61	$53.09	$112.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $148.47 / $256.52 / $389.40	Professional	TC	$148.47	$256.52	$389.40