Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.21 / $285.55 / $387.67	Facility	26	$128.21	$285.55	$387.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.63 / $243.78 / $386.25	Professional		$136.63	$243.78	$386.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.82 / $66.45 / $138.49	Professional	26	$56.82	$66.45	$138.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.41 / $186.96 / $271.08	Professional	TC	$60.41	$186.96	$271.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $72.33 / $72.33 / $72.33	Professional	26	$72.33	$72.33	$72.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.20 / $136.22 / $170.94	Professional		$119.20	$136.22	$170.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.13 / $72.14 / $90.18	Professional	26	$63.13	$72.14	$90.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.07 / $64.08 / $80.09	Professional	TC	$56.07	$64.08	$80.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.26 / $105.26 / $105.26	Facility	26	$105.26	$105.26	$105.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $279.20 / $564.11	Professional		$136.22	$279.20	$564.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.38 / $91.74 / $174.76	Professional	26	$63.38	$91.74	$174.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.58 / $153.03 / $441.43	Professional	TC	$59.58	$153.03	$441.43
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $413.29 / $413.29 / $413.29	Facility	26	$413.29	$413.29	$413.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $178.28 / $321.35 / $3,140.08	Professional		$178.28	$321.35	$3,140.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $63.68 / $97.80 / $681.88	Professional	26	$63.68	$97.80	$681.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $80.48 / $194.79 / $2,808.09	Professional	TC	$80.48	$194.79	$2,808.09
United Facility/Professional Professional Modifier Low / Median / High Price $178.28 / $245.75 / $411.21	Professional		$178.28	$245.75	$411.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.49 / $93.02 / $179.35	Professional	26	$60.49	$93.02	$179.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.48 / $147.58 / $347.53	Professional	TC	$80.48	$147.58	$347.53