Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.96 / $278.10 / $347.60	Facility	26	$114.96	$278.10	$347.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.23 / $475.00 / $681.24	Professional		$311.23	$475.00	$681.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.33 / $128.00 / $168.39	Professional	26	$82.33	$128.00	$168.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $226.44 / $335.00 / $424.84	Professional	TC	$226.44	$335.00	$424.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $227.73 / $227.73 / $227.73	Professional		$227.73	$227.73	$227.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.89 / $62.89 / $62.89	Professional	26	$62.89	$62.89	$62.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.61 / $350.41 / $438.01	Professional		$306.61	$350.41	$438.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.02 / $81.16 / $101.45	Professional	26	$71.02	$81.16	$101.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $235.59 / $269.25 / $336.56	Professional	TC	$235.59	$269.25	$336.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.41 / $93.41 / $93.41	Facility	26	$93.41	$93.41	$93.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.89 / $607.73 / $922.91	Professional		$262.89	$607.73	$922.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.04 / $102.25 / $175.47	Professional	26	$60.04	$102.25	$175.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $193.64 / $445.34 / $766.37	Professional	TC	$193.64	$445.34	$766.37
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $764.32 / $764.32 / $764.32	Facility	26	$764.32	$764.32	$764.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $303.70 / $575.27 / $3,392.38	Professional		$303.70	$575.27	$3,392.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $70.54 / $83.22 / $667.05	Professional	26	$70.54	$83.22	$667.05
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $228.23 / $500.01 / $2,981.99	Professional	TC	$228.23	$500.01	$2,981.99
United Facility/Professional Professional Modifier Low / Median / High Price $303.70 / $497.05 / $766.57	Professional		$303.70	$497.05	$766.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.54 / $75.47 / $157.68	Professional	26	$70.54	$75.47	$157.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $228.23 / $425.29 / $591.95	Professional	TC	$228.23	$425.29	$591.95