Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.18 / $293.39 / $1,036.00	Facility	26	$115.18	$293.39	$1,036.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.25 / $367.26 / $1,373.97	Professional		$292.25	$367.26	$1,373.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.45 / $104.71 / $327.32	Professional	26	$76.45	$104.71	$327.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $219.39 / $264.64 / $508.04	Professional	TC	$219.39	$264.64	$508.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $228.01 / $267.56 / $309.63	Professional		$228.01	$267.56	$309.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $65.95 / $82.45 / $142.63	Professional	26	$65.95	$82.45	$142.63
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $229.23 / $229.23 / $239.65	Professional	TC	$229.23	$229.23	$239.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.75 / $349.42 / $436.78	Professional		$305.75	$349.42	$436.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.95 / $86.10 / $107.63	Professional	26	$83.95	$86.10	$107.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $236.74 / $263.32 / $329.15	Professional	TC	$236.74	$263.32	$329.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.40 / $98.40 / $98.40	Facility	26	$98.40	$98.40	$98.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.00 / $390.38 / $651.74	Professional		$235.00	$390.38	$651.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.12 / $109.18 / $180.37	Professional	26	$63.12	$109.18	$180.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $178.60 / $285.23 / $486.06	Professional	TC	$178.60	$285.23	$486.06
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $805.76 / $805.76 / $805.76	Facility	26	$805.76	$805.76	$805.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $274.22 / $331.19 / $2,077.84	Professional		$274.22	$331.19	$2,077.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $74.78 / $93.47 / $547.02	Professional	26	$74.78	$93.47	$547.02
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $199.90 / $238.35 / $2,614.00	Professional	TC	$199.90	$238.35	$2,614.00
United Facility/Professional Professional Modifier Low / Median / High Price $268.14 / $322.42 / $625.41	Professional		$268.14	$322.42	$625.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.31 / $84.07 / $169.00	Professional	26	$74.31	$84.07	$169.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $199.44 / $238.35 / $449.55	Professional	TC	$199.44	$238.35	$449.55