Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.20 / $133.22 / $158.69	Facility	26	$81.20	$133.22	$158.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.59 / $373.90 / $558.49	Professional		$218.59	$373.90	$558.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.30 / $136.38 / $185.37	Professional	26	$89.30	$136.38	$185.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $229.88 / $335.00 / $485.75	Professional	TC	$229.88	$335.00	$485.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.99 / $372.89 / $372.89	Professional		$167.99	$372.89	$372.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.26 / $47.34 / $67.94	Professional	26	$47.26	$47.34	$67.94
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $241.87 / $241.87 / $241.87	Professional	50	$241.87	$241.87	$241.87
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $113.99 / $113.99 / $113.99	Professional	TC	$113.99	$113.99	$113.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $494.85 / $494.85 / $494.85	Professional		$494.85	$494.85	$494.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.53 / $397.59 / $745.00	Professional		$187.53	$397.59	$745.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.85 / $83.81 / $120.83	Professional	26	$53.85	$83.81	$120.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $149.88 / $304.50 / $634.00	Professional	TC	$149.88	$304.50	$634.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $463.68 / $596.96 / $596.96	Facility	26	$463.68	$596.96	$596.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $270.19 / $510.50 / $2,789.74	Professional		$270.19	$510.50	$2,789.74
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.99 / $95.55 / $531.65	Professional	26	$60.99	$95.55	$531.65
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $197.41 / $449.51 / $2,459.04	Professional	TC	$197.41	$449.51	$2,459.04
United Facility/Professional Professional Modifier Low / Median / High Price $253.80 / $444.81 / $668.90	Professional		$253.80	$444.81	$668.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.99 / $77.42 / $130.85	Professional	26	$60.99	$77.42	$130.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $192.72 / $327.62 / $653.27	Professional	TC	$192.72	$327.62	$653.27