Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $170.78 / $338.12 / $493.00	Facility	26	$170.78	$338.12	$493.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.23 / $475.00 / $940.80	Professional		$378.23	$475.00	$940.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $116.43 / $153.69 / $409.65	Professional	26	$116.43	$153.69	$409.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.35 / $335.00 / $563.89	Professional	TC	$259.35	$335.00	$563.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.16 / $347.49 / $800.78	Professional		$251.16	$347.49	$800.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $92.68 / $94.58 / $163.00	Professional	26	$92.68	$94.58	$163.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $361.84 / $413.54 / $516.91	Professional		$361.84	$413.54	$516.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $106.38 / $121.58 / $151.97	Professional	26	$106.38	$121.58	$151.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $255.47 / $291.95 / $364.95	Professional	TC	$255.47	$291.95	$364.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $139.38 / $139.38 / $139.38	Facility	26	$139.38	$139.38	$139.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.00 / $658.57 / $977.17	Professional		$317.00	$658.57	$977.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.77 / $150.66 / $259.60	Professional	26	$89.77	$150.66	$259.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $214.85 / $482.89 / $736.17	Professional	TC	$214.85	$482.89	$736.17
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,142.00 / $1,142.00 / $1,142.00	Facility	26	$1,142.00	$1,142.00	$1,142.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $362.59 / $591.67 / $3,919.13	Professional		$362.59	$591.67	$3,919.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $108.49 / $122.03 / $771.93	Professional	26	$108.49	$122.03	$771.93
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $251.85 / $474.87 / $3,292.02	Professional	TC	$251.85	$474.87	$3,292.02
United Facility/Professional Professional Modifier Low / Median / High Price $362.59 / $489.39 / $899.78	Professional		$362.59	$489.39	$899.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $108.49 / $116.59 / $236.61	Professional	26	$108.49	$116.59	$236.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $251.68 / $366.86 / $631.12	Professional	TC	$251.68	$366.86	$631.12