Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.31 / $263.51 / $357.74	Facility	26	$118.31	$263.51	$357.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.61 / $475.00 / $749.88	Professional		$346.61	$475.00	$749.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $140.00 / $322.00	Professional	26	$85.00	$140.00	$322.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.35 / $335.00 / $485.57	Professional	TC	$259.35	$335.00	$485.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.16 / $65.45 / $97.44	Professional	26	$64.16	$65.45	$97.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.96 / $391.95 / $489.94	Professional		$342.96	$391.95	$489.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.58 / $84.10 / $105.12	Professional	26	$73.58	$84.10	$105.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $269.37 / $307.86 / $384.82	Professional	TC	$269.37	$307.86	$384.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.55 / $96.55 / $96.55	Facility	26	$96.55	$96.55	$96.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.48 / $575.82 / $855.79	Professional		$292.48	$575.82	$855.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $106.26 / $181.45	Professional	26	$62.50	$106.26	$181.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $219.12 / $453.80 / $683.80	Professional	TC	$219.12	$453.80	$683.80
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $789.92 / $789.92 / $789.92	Facility	26	$789.92	$789.92	$789.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $334.68 / $505.70 / $3,007.15	Professional		$334.68	$505.70	$3,007.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $73.44 / $86.64 / $848.54	Professional	26	$73.44	$86.64	$848.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $257.07 / $432.26 / $2,544.17	Professional	TC	$257.07	$432.26	$2,544.17
United Facility/Professional Professional Modifier Low / Median / High Price $334.68 / $464.35 / $794.75	Professional		$334.68	$464.35	$794.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.44 / $77.79 / $164.17	Professional	26	$73.44	$77.79	$164.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.07 / $369.17 / $642.25	Professional	TC	$257.07	$369.17	$642.25