Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.77 / $242.27 / $328.91	Facility	26	$108.77	$242.27	$328.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.45 / $475.00 / $1,111.50	Professional		$324.45	$475.00	$1,111.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.70 / $140.00 / $264.06	Professional	26	$77.70	$140.00	$264.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $246.56 / $335.00 / $469.43	Professional	TC	$246.56	$335.00	$469.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $276.49 / $276.49 / $762.46	Professional		$276.49	$276.49	$762.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $58.61 / $73.26 / $106.34	Professional	26	$58.61	$73.26	$106.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.23 / $363.69 / $454.61	Professional		$318.23	$363.69	$454.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.94 / $76.50 / $95.63	Professional	26	$66.94	$76.50	$95.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $251.29 / $287.18 / $358.98	Professional	TC	$251.29	$287.18	$358.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.95 / $87.95 / $87.95	Facility	26	$87.95	$87.95	$87.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.37 / $574.52 / $875.78	Professional		$272.37	$574.52	$875.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.35 / $96.26 / $165.69	Professional	26	$56.35	$96.26	$165.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $207.89 / $451.54 / $716.26	Professional	TC	$207.89	$451.54	$716.26
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $720.40 / $720.40 / $720.40	Facility	26	$720.40	$720.40	$720.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.27 / $522.12 / $3,348.15	Professional		$316.27	$522.12	$3,348.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $66.03 / $78.70 / $597.70	Professional	26	$66.03	$78.70	$597.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $245.10 / $439.17 / $2,941.88	Professional	TC	$245.10	$439.17	$2,941.88
United Facility/Professional Professional Modifier Low / Median / High Price $316.27 / $446.50 / $796.52	Professional		$316.27	$446.50	$796.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.03 / $71.17 / $150.81	Professional	26	$66.03	$71.17	$150.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.10 / $361.36 / $614.19	Professional	TC	$245.10	$361.36	$614.19