Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.51 / $284.47 / $410.94	Facility	26	$141.51	$284.47	$410.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $487.34 / $1,034.16	Professional		$370.50	$487.34	$1,034.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.26 / $140.00 / $473.51	Professional	26	$105.26	$140.00	$473.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $290.95 / $358.70 / $665.29	Professional	TC	$290.95	$358.70	$665.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $252.34 / $339.66 / $1,355.29	Professional		$252.34	$339.66	$1,355.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.97 / $136.44 / $189.18	Professional	26	$77.97	$136.44	$189.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.51 / $445.15 / $556.44	Professional		$389.51	$445.15	$556.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.06 / $101.78 / $127.23	Professional	26	$89.06	$101.78	$127.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $300.45 / $343.37 / $429.21	Professional	TC	$300.45	$343.37	$429.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.52 / $116.52 / $116.52	Facility	26	$116.52	$116.52	$116.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.18 / $761.15 / $1,286.43	Professional		$335.18	$761.15	$1,286.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.22 / $126.53 / $217.63	Professional	26	$74.22	$126.53	$217.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $251.18 / $567.94 / $981.80	Professional	TC	$251.18	$567.94	$981.80
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $953.92 / $953.92 / $953.92	Facility	26	$953.92	$953.92	$953.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.59 / $707.94 / $5,981.06	Professional		$389.59	$707.94	$5,981.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.61 / $104.22 / $883.52	Professional	26	$87.61	$104.22	$883.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $296.33 / $598.11 / $5,438.76	Professional	TC	$296.33	$598.11	$5,438.76
United Facility/Professional Professional Modifier Low / Median / High Price $389.59 / $550.01 / $1,010.45	Professional		$389.59	$550.01	$1,010.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.61 / $94.34 / $195.85	Professional	26	$87.61	$94.34	$195.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $296.33 / $450.17 / $778.18	Professional	TC	$296.33	$450.17	$778.18