Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.52 / $177.24 / $258.43	Facility	26	$89.52	$177.24	$258.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $475.00 / $1,495.17	Professional		$250.00	$475.00	$1,495.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.93 / $140.00 / $297.75	Professional	26	$67.93	$140.00	$297.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $712.50 / $712.50 / $712.50	Professional	50	$712.50	$712.50	$712.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $191.89 / $335.00 / $472.35	Professional	TC	$191.89	$335.00	$472.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.82 / $197.15 / $300.01	Professional		$154.82	$197.15	$300.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $49.13 / $73.65 / $88.19	Professional	26	$49.13	$73.65	$88.19
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $191.89 / $191.89 / $191.89	Professional	TC	$191.89	$191.89	$191.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.27 / $257.45 / $321.81	Professional		$225.27	$257.45	$321.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.54 / $63.47 / $79.34	Professional	26	$55.54	$63.47	$79.34
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $169.73 / $193.98 / $242.47	Professional	TC	$169.73	$193.98	$242.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.95 / $72.95 / $72.95	Facility	26	$72.95	$72.95	$72.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.29 / $464.00 / $745.00	Professional		$194.29	$464.00	$745.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.65 / $79.72 / $136.77	Professional	26	$46.65	$79.72	$136.77
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $338.09 / $338.09 / $338.09	Professional	50	$338.09	$338.09	$338.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $139.19 / $346.18 / $619.30	Professional	TC	$139.19	$346.18	$619.30
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $596.96 / $596.96 / $596.96	Facility	26	$596.96	$596.96	$596.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $222.40 / $470.27 / $2,789.74	Professional		$222.40	$470.27	$2,789.74
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.76 / $65.27 / $531.65	Professional	26	$54.76	$65.27	$531.65
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $163.81 / $411.41 / $2,459.04	Professional	TC	$163.81	$411.41	$2,459.04
United Facility/Professional Professional Modifier Low / Median / High Price $222.40 / $382.23 / $584.03	Professional		$222.40	$382.23	$584.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.76 / $58.74 / $122.40	Professional	26	$54.76	$58.74	$122.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $163.81 / $305.16 / $464.40	Professional	TC	$163.81	$305.16	$464.40