Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $158.86 / $384.32 / $480.37	Facility	26	$158.86	$384.32	$480.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.39 / $275.00 / $380.51	Professional		$185.39	$275.00	$380.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $120.43 / $176.08	Professional	26	$55.00	$120.43	$176.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $110.58 / $144.88 / $220.00	Professional	TC	$110.58	$144.88	$220.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.90 / $363.90 / $363.90	Professional		$363.90	$363.90	$363.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $86.52 / $86.52 / $86.52	Professional	26	$86.52	$86.52	$86.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.98 / $244.54 / $305.68	Professional		$213.98	$244.54	$305.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $99.30 / $113.48 / $141.85	Professional	26	$99.30	$113.48	$141.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $114.68 / $131.06 / $163.83	Professional	TC	$114.68	$131.06	$163.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $129.66 / $129.66 / $129.66	Facility	26	$129.66	$129.66	$129.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.35 / $506.24 / $999.76	Professional		$316.35	$506.24	$999.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.50 / $133.43 / $236.42	Professional	26	$79.50	$133.43	$236.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $224.01 / $377.88 / $759.66	Professional	TC	$224.01	$377.88	$759.66
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,061.59 / $1,061.59 / $1,061.59	Facility	26	$1,061.59	$1,061.59	$1,061.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.33 / $460.02 / $1,915.39	Professional		$363.33	$460.02	$1,915.39
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $97.50 / $109.90 / $717.76	Professional	26	$97.50	$109.90	$717.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $264.76 / $361.44 / $1,435.54	Professional	TC	$264.76	$361.44	$1,435.54
United Facility/Professional Professional Modifier Low / Median / High Price $363.33 / $428.64 / $812.16	Professional		$363.33	$428.64	$812.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.50 / $104.70 / $220.33	Professional	26	$97.50	$104.70	$220.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $264.76 / $312.36 / $598.85	Professional	TC	$264.76	$312.36	$598.85