Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.48 / $269.52 / $359.33	Facility	26	$124.48	$269.52	$359.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.98 / $392.32 / $624.48	Professional		$263.98	$392.32	$624.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.51 / $95.56 / $204.91	Professional	26	$78.51	$95.56	$204.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $179.11 / $309.93 / $447.06	Professional	TC	$179.11	$309.93	$447.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.51 / $186.98 / $311.01	Professional		$155.51	$186.98	$311.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $68.03 / $119.06 / $165.08	Professional	26	$68.03	$119.06	$165.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.35 / $307.82 / $384.78	Professional		$269.35	$307.82	$384.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.69 / $88.79 / $111.32	Professional	26	$77.69	$88.79	$111.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $191.65 / $219.03 / $273.79	Professional	TC	$191.65	$219.03	$273.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.96 / $101.96 / $101.96	Facility	26	$101.96	$101.96	$101.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.31 / $499.66 / $771.72	Professional		$268.31	$499.66	$771.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.31 / $108.37 / $192.88	Professional	26	$64.31	$108.37	$192.88
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $458.57 / $458.57 / $458.57	Professional	50	$458.57	$458.57	$458.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $202.73 / $371.30 / $621.00	Professional	TC	$202.73	$371.30	$621.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $833.76 / $833.76 / $833.76	Facility	26	$833.76	$833.76	$833.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $306.77 / $454.48 / $2,878.66	Professional		$306.77	$454.48	$2,878.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $77.95 / $91.96 / $561.99	Professional	26	$77.95	$91.96	$561.99
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $225.17 / $376.53 / $2,400.63	Professional	TC	$225.17	$376.53	$2,400.63
United Facility/Professional Professional Modifier Low / Median / High Price $301.60 / $433.14 / $772.59	Professional		$301.60	$433.14	$772.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.95 / $83.39 / $176.04	Professional	26	$77.95	$83.39	$176.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $223.90 / $304.08 / $564.24	Professional	TC	$223.90	$304.08	$564.24