Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $150.53 / $218.73 / $454.79	Facility	26	$150.53	$218.73	$454.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $372.31 / $778.55	Professional		$275.00	$372.31	$778.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.60 / $118.03 / $412.00	Professional	26	$95.60	$118.03	$412.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $170.16 / $266.22 / $402.59	Professional	TC	$170.16	$266.22	$402.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.50 / $286.72 / $329.07	Professional		$213.50	$286.72	$329.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $80.81 / $130.47 / $222.07	Professional	26	$80.81	$130.47	$222.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.89 / $370.16 / $462.70	Professional		$323.89	$370.16	$462.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $98.46 / $112.52 / $140.65	Professional	26	$98.46	$112.52	$140.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $225.44 / $257.64 / $322.05	Professional	TC	$225.44	$257.64	$322.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.94 / $128.94 / $128.94	Facility	26	$128.94	$128.94	$128.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.39 / $498.64 / $835.24	Professional		$267.39	$498.64	$835.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.44 / $136.81 / $235.24	Professional	26	$81.44	$136.81	$235.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $182.00 / $335.76 / $616.26	Professional	TC	$182.00	$335.76	$616.26
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,056.00 / $1,056.00 / $1,056.00	Facility	26	$1,056.00	$1,056.00	$1,056.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $310.75 / $577.26 / $2,091.94	Professional		$310.75	$577.26	$2,091.94
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $96.79 / $111.48 / $711.82	Professional	26	$96.79	$111.48	$711.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $207.98 / $448.71 / $1,773.11	Professional	TC	$207.98	$448.71	$1,773.11
United Facility/Professional Professional Modifier Low / Median / High Price $310.75 / $447.64 / $795.20	Professional		$310.75	$447.64	$795.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $96.72 / $103.72 / $221.70	Professional	26	$96.72	$103.72	$221.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $207.98 / $297.99 / $546.16	Professional	TC	$207.98	$297.99	$546.16