Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.92 / $183.69 / $442.86	Facility	26	$114.92	$183.69	$442.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.71 / $434.02 / $1,082.81	Professional		$335.71	$434.02	$1,082.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.55 / $107.34 / $257.60	Professional	26	$80.55	$107.34	$257.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $248.37 / $344.43 / $570.90	Professional	TC	$248.37	$344.43	$570.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $254.45 / $299.58 / $341.92	Professional		$254.45	$299.58	$341.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $70.45 / $83.25 / $175.59	Professional	26	$70.45	$83.25	$175.59
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $258.67 / $258.67 / $270.42	Professional	TC	$258.67	$258.67	$270.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.68 / $391.63 / $489.54	Professional		$342.68	$391.63	$489.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.68 / $94.50 / $118.12	Professional	26	$82.68	$94.50	$118.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $259.99 / $297.14 / $371.42	Professional	TC	$259.99	$297.14	$371.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.46 / $108.46 / $108.46	Facility	26	$108.46	$108.46	$108.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $473.52 / $763.15	Professional		$275.00	$473.52	$763.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.05 / $119.96 / $199.67	Professional	26	$69.05	$119.96	$199.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $201.55 / $358.42 / $573.67	Professional	TC	$201.55	$358.42	$573.67
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $887.84 / $887.84 / $887.84	Facility	26	$887.84	$887.84	$887.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $311.33 / $408.10 / $2,326.86	Professional		$311.33	$408.10	$2,326.86
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $82.17 / $94.52 / $600.70	Professional	26	$82.17	$94.52	$600.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $226.83 / $315.01 / $2,909.00	Professional	TC	$226.83	$315.01	$2,909.00
United Facility/Professional Professional Modifier Low / Median / High Price $307.05 / $388.42 / $722.18	Professional		$307.05	$388.42	$722.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.17 / $93.09 / $186.55	Professional	26	$82.17	$93.09	$186.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $216.83 / $304.07 / $584.70	Professional	TC	$216.83	$304.07	$584.70