Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.82 / $287.45 / $359.29	Facility	26	$118.82	$287.45	$359.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.85 / $475.00 / $635.57	Professional		$342.85	$475.00	$635.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $131.28 / $145.65	Professional	26	$85.00	$131.28	$145.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $256.94 / $335.00 / $484.30	Professional	TC	$256.94	$335.00	$484.30
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $379.81 / $379.81 / $379.81	Professional	50	$379.81	$379.81	$379.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.85 / $391.82 / $489.78	Professional		$342.85	$391.82	$489.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.17 / $84.77 / $105.96	Professional	26	$74.17	$84.77	$105.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $268.67 / $307.06 / $383.82	Professional	TC	$268.67	$307.06	$383.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.37 / $97.37 / $97.37	Facility	26	$97.37	$97.37	$97.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.69 / $575.72 / $853.54	Professional		$291.69	$575.72	$853.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.76 / $107.46 / $182.97	Professional	26	$62.76	$107.46	$182.97
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $507.23 / $507.23 / $507.23	Professional	50	$507.23	$507.23	$507.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $217.73 / $452.70 / $685.81	Professional	TC	$217.73	$452.70	$685.81
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $795.52 / $795.52 / $795.52	Facility	26	$795.52	$795.52	$795.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $333.75 / $506.99 / $3,018.44	Professional		$333.75	$506.99	$3,018.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $74.09 / $87.40 / $850.86	Professional	26	$74.09	$87.40	$850.86
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $255.52 / $432.90 / $2,546.60	Professional	TC	$255.52	$432.90	$2,546.60
United Facility/Professional Professional Modifier Low / Median / High Price $333.75 / $471.18 / $825.17	Professional		$333.75	$471.18	$825.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.09 / $79.09 / $173.16	Professional	26	$74.09	$79.09	$173.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $255.52 / $370.03 / $636.65	Professional	TC	$255.52	$370.03	$636.65