Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.06 / $162.72 / $220.91	Facility	26	$73.06	$162.72	$220.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.44 / $212.87 / $363.48	Professional		$153.44	$212.87	$363.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.10 / $50.51 / $107.73	Professional	26	$38.10	$50.51	$107.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $117.31 / $162.03 / $284.06	Professional	TC	$117.31	$162.03	$284.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.03 / $96.03 / $124.83	Professional		$96.03	$96.03	$124.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $69.41 / $69.41 / $69.41	Professional	26	$69.41	$69.41	$69.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.60 / $241.82 / $302.27	Professional		$211.60	$241.82	$302.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.07 / $61.79 / $77.23	Professional	26	$54.07	$61.79	$77.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $157.53 / $180.03 / $225.04	Professional	TC	$157.53	$180.03	$225.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.80 / $59.80 / $59.80	Facility	26	$59.80	$59.80	$59.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.71 / $289.77 / $505.91	Professional		$167.71	$289.77	$505.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.82 / $66.34 / $109.19	Professional	26	$37.82	$66.34	$109.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.96 / $209.90 / $378.71	Professional	TC	$128.96	$209.90	$378.71
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $234.66 / $234.66 / $234.66	Facility	26	$234.66	$234.66	$234.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $192.69 / $214.52 / $1,374.92	Professional		$192.69	$214.52	$1,374.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $45.72 / $50.89 / $330.16	Professional	26	$45.72	$50.89	$330.16
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $146.97 / $163.63 / $1,044.76	Professional	TC	$146.97	$163.63	$1,044.76
United Facility/Professional Professional Modifier Low / Median / High Price $192.60 / $214.52 / $432.83	Professional		$192.60	$214.52	$432.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.72 / $50.89 / $103.70	Professional	26	$45.72	$50.89	$103.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $146.97 / $163.63 / $330.21	Professional	TC	$146.97	$163.63	$330.21