Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.03 / $138.60 / $258.62	Facility	26	$97.03	$138.60	$258.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.60 / $475.00 / $857.90	Professional		$235.60	$475.00	$857.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.16 / $140.00 / $322.00	Professional	26	$72.16	$140.00	$322.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $179.09 / $335.00 / $422.10	Professional	TC	$179.09	$335.00	$422.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.11 / $173.40 / $196.02	Professional		$129.11	$173.40	$196.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.45 / $79.41 / $127.21	Professional	26	$52.45	$79.41	$127.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.81 / $223.78 / $279.73	Professional		$195.81	$223.78	$279.73
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.90 / $68.45 / $85.57	Professional	26	$59.90	$68.45	$85.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $135.91 / $155.33 / $194.16	Professional	TC	$135.91	$155.33	$194.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.09 / $79.09 / $79.09	Facility	26	$79.09	$79.09	$79.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.18 / $427.57 / $682.28	Professional		$164.18	$427.57	$682.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.64 / $86.13 / $147.86	Professional	26	$50.64	$86.13	$147.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $110.81 / $303.77 / $554.00	Professional	TC	$110.81	$303.77	$554.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $647.12 / $647.12 / $647.12	Facility	26	$647.12	$647.12	$647.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.49 / $433.79 / $2,831.41	Professional		$194.49	$433.79	$2,831.41
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $59.59 / $70.97 / $579.54	Professional	26	$59.59	$70.97	$579.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $130.68 / $338.93 / $2,465.48	Professional	TC	$130.68	$338.93	$2,465.48
United Facility/Professional Professional Modifier Low / Median / High Price $194.49 / $364.83 / $527.05	Professional		$194.49	$364.83	$527.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.59 / $63.94 / $135.19	Professional	26	$59.59	$63.94	$135.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $130.68 / $277.02 / $420.70	Professional	TC	$130.68	$277.02	$420.70