Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $93.33 / $104.71	Facility	26	$75.86	$93.33	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $295.12 / $512.86	Professional		$208.93	$295.12	$512.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $79.43 / $162.18	Professional	26	$54.95	$79.43	$162.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $218.78 / $398.11	Professional	TC	$154.88	$218.78	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $63.10 / $104.71	Professional	26	$50.12	$63.10	$104.71
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $199.53 / $281.84	Professional	TC	$144.54	$199.53	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $263.03 / $363.08	Professional		$66.07	$263.03	$363.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $64.57 / $102.33	Facility	26	$64.57	$64.57	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $363.08 / $562.34	Professional		$223.87	$363.08	$562.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $67.61 / $134.90	Professional	26	$54.95	$67.61	$134.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $288.40 / $436.52	Professional	TC	$162.18	$288.40	$436.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $478.63 / $616.60 / $616.60	Facility	26	$478.63	$616.60	$616.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $354.81 / $2,398.83	Professional		$239.88	$354.81	$2,398.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $75.86 / $537.03	Professional	26	$57.54	$75.86	$537.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $316.23 / $2,630.27	Professional	TC	$173.78	$316.23	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $562.34	Professional		$234.42	$302.00	$562.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $72.44 / $107.15	Professional	26	$57.54	$72.44	$107.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $218.78 / $478.63	Professional	TC	$169.82	$218.78	$478.63