Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.64 / $157.53 / $229.70	Facility	26	$74.64	$157.53	$229.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.62 / $230.17 / $678.00	Professional		$149.62	$230.17	$678.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.28 / $60.20 / $136.79	Professional	26	$51.28	$60.20	$136.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.92 / $172.62 / $220.00	Professional	TC	$89.92	$172.62	$220.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.08 / $121.08 / $151.35	Professional		$121.08	$121.08	$151.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.52 / $74.80 / $99.34	Professional	26	$42.52	$74.80	$99.34
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $85.99 / $85.99 / $85.99	Professional	TC	$85.99	$85.99	$85.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.26 / $154.58 / $193.23	Professional		$135.26	$154.58	$193.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.83 / $55.80 / $69.75	Professional	26	$48.83	$55.80	$69.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $86.44 / $98.78 / $123.48	Professional	TC	$86.44	$98.78	$123.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.44 / $64.44 / $64.44	Facility	26	$64.44	$64.44	$64.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.24 / $225.00 / $383.24	Professional		$119.24	$225.00	$383.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.51 / $68.84 / $120.89	Professional	26	$41.51	$68.84	$120.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.26 / $160.75 / $267.94	Professional	TC	$70.26	$160.75	$267.94
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $527.60 / $527.60 / $527.60	Facility	26	$527.60	$527.60	$527.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.84 / $232.48 / $1,561.56	Professional		$128.84	$232.48	$1,561.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $48.64 / $57.94 / $386.35	Professional	26	$48.64	$57.94	$386.35
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $77.00 / $174.27 / $1,649.00	Professional	TC	$77.00	$174.27	$1,649.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.84 / $197.61 / $334.17	Professional		$128.84	$197.61	$334.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.64 / $51.84 / $108.72	Professional	26	$48.64	$51.84	$108.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.00 / $147.66 / $208.12	Professional	TC	$77.00	$147.66	$208.12