Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.64 / $127.30 / $248.53	Facility	26	$79.64	$127.30	$248.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.71 / $410.67 / $1,026.46	Professional		$252.71	$410.67	$1,026.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $71.06 / $150.13	Professional	26	$57.54	$71.06	$150.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.38 / $306.19 / $502.82	Professional	TC	$173.38	$306.19	$502.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $170.51 / $229.68 / $259.64	Professional		$170.51	$229.68	$259.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.17 / $62.71 / $121.64	Professional	26	$50.17	$62.71	$121.64
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $205.63 / $205.63 / $205.63	Professional	TC	$205.63	$205.63	$205.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.00 / $284.57 / $355.71	Professional		$249.00	$284.57	$355.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.30 / $65.48 / $81.84	Professional	26	$57.30	$65.48	$81.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $191.70 / $219.09 / $273.86	Professional	TC	$191.70	$219.09	$273.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.64 / $75.64 / $75.64	Facility	26	$75.64	$75.64	$75.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.86 / $399.44 / $654.16	Professional		$218.86	$399.44	$654.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.68 / $81.23 / $142.31	Professional	26	$48.68	$81.23	$142.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $165.92 / $299.10 / $528.78	Professional	TC	$165.92	$299.10	$528.78
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $619.20 / $619.20 / $619.20	Facility	26	$619.20	$619.20	$619.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $240.81 / $395.86 / $2,385.40	Professional		$240.81	$395.86	$2,385.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $57.01 / $67.26 / $533.30	Professional	26	$57.01	$67.26	$533.30
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $179.76 / $338.85 / $2,603.00	Professional	TC	$179.76	$338.85	$2,603.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.48 / $356.44 / $606.47	Professional		$236.48	$356.44	$606.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.01 / $61.05 / $127.43	Professional	26	$57.01	$61.05	$127.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $179.73 / $285.72 / $462.88	Professional	TC	$179.73	$285.72	$462.88