Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.77 / $188.80 / $256.32	Facility	26	$84.77	$188.80	$256.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.38 / $339.97 / $963.35	Professional		$238.38	$339.97	$963.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.86 / $64.54 / $175.49	Professional	26	$54.86	$64.54	$175.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $170.44 / $258.61 / $408.74	Professional	TC	$170.44	$258.61	$408.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.47 / $216.81 / $423.54	Professional		$160.47	$216.81	$423.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.56 / $50.96 / $82.97	Professional	26	$45.56	$50.96	$82.97
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $181.35 / $181.35 / $189.59	Professional	TC	$181.35	$181.35	$189.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.59 / $268.10 / $335.13	Professional		$234.59	$268.10	$335.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.31 / $59.78 / $74.73	Professional	26	$52.31	$59.78	$74.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $182.28 / $208.32 / $260.39	Professional	TC	$182.28	$208.32	$260.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.05 / $69.05 / $69.05	Facility	26	$69.05	$69.05	$69.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.23 / $327.90 / $531.13	Professional		$187.23	$327.90	$531.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.46 / $73.83 / $129.19	Professional	26	$44.46	$73.83	$129.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $143.93 / $244.94 / $410.32	Professional	TC	$143.93	$244.94	$410.32
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $565.04 / $565.04 / $565.04	Facility	26	$565.04	$565.04	$565.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $212.56 / $308.89 / $1,846.75	Professional		$212.56	$308.89	$1,846.75
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.18 / $61.95 / $444.14	Professional	26	$52.18	$61.95	$444.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $157.97 / $256.70 / $2,104.00	Professional	TC	$157.97	$256.70	$2,104.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.84 / $285.05 / $535.01	Professional		$210.84	$285.05	$535.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.18 / $55.79 / $119.78	Professional	26	$52.18	$55.79	$119.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $152.55 / $224.72 / $397.87	Professional	TC	$152.55	$224.72	$397.87