Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.31 / $201.76 / $387.02	Facility	26	$144.31	$201.76	$387.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $475.00 / $2,211.19	Professional		$370.50	$475.00	$2,211.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.02 / $140.00 / $495.59	Professional	26	$104.02	$140.00	$495.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.74 / $335.00 / $635.02	Professional	TC	$251.74	$335.00	$635.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $254.48 / $299.37 / $345.39	Professional		$254.48	$299.37	$345.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.51 / $99.39 / $171.94	Professional	26	$79.51	$99.39	$171.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.71 / $389.38 / $486.73	Professional		$340.71	$389.38	$486.73
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $101.21 / $103.80 / $129.75	Professional	26	$101.21	$103.80	$129.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $249.89 / $285.58 / $356.98	Professional	TC	$249.89	$285.58	$356.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.86 / $118.86 / $118.86	Facility	26	$118.86	$118.86	$118.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.45 / $680.09 / $1,263.36	Professional		$294.45	$680.09	$1,263.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.64 / $130.76 / $223.49	Professional	26	$75.64	$130.76	$223.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $205.82 / $479.72 / $983.94	Professional	TC	$205.82	$479.72	$983.94
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $973.04 / $973.04 / $973.04	Facility	26	$973.04	$973.04	$973.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $337.75 / $729.32 / $6,025.38	Professional		$337.75	$729.32	$6,025.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $91.80 / $111.88 / $891.52	Professional	26	$91.80	$111.88	$891.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $242.65 / $611.11 / $5,457.89	Professional	TC	$242.65	$611.11	$5,457.89
United Facility/Professional Professional Modifier Low / Median / High Price $337.75 / $574.88 / $925.59	Professional		$337.75	$574.88	$925.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.80 / $98.30 / $205.16	Professional	26	$91.80	$98.30	$205.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $242.65 / $419.23 / $734.94	Professional	TC	$242.65	$419.23	$734.94