Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.71 / $226.70 / $283.35	Facility	26	$93.71	$226.70	$283.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.90 / $194.27 / $291.70	Professional		$107.90	$194.27	$291.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.40 / $55.25 / $107.06	Professional	26	$47.40	$55.25	$107.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.16 / $144.61 / $209.68	Professional	TC	$51.16	$144.61	$209.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.70 / $96.70 / $96.70	Professional		$96.70	$96.70	$96.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.22 / $41.22 / $53.75	Professional	26	$41.22	$41.22	$53.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.22 / $105.39 / $131.74	Professional		$92.22	$105.39	$131.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.08 / $52.66 / $65.83	Professional	26	$46.08	$52.66	$65.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.14 / $52.73 / $65.91	Professional	TC	$46.14	$52.73	$65.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.09 / $77.09 / $77.09	Facility	26	$77.09	$77.09	$77.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.76 / $216.72 / $481.14	Professional		$105.76	$216.72	$481.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.82 / $69.06 / $117.94	Professional	26	$49.82	$69.06	$117.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.90 / $130.52 / $409.66	Professional	TC	$49.90	$130.52	$409.66
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $302.75 / $302.75 / $302.75	Facility	26	$302.75	$302.75	$302.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $139.99 / $259.42 / $3,098.01	Professional		$139.99	$259.42	$3,098.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $55.34 / $71.81 / $636.41	Professional	26	$55.34	$71.81	$636.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $69.65 / $149.75 / $2,808.09	Professional	TC	$69.65	$149.75	$2,808.09
United Facility/Professional Professional Modifier Low / Median / High Price $139.25 / $188.15 / $374.45	Professional		$139.25	$188.15	$374.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.44 / $68.05 / $105.47	Professional	26	$54.44	$68.05	$105.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.65 / $107.74 / $319.11	Professional	TC	$69.65	$107.74	$319.11