Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.03 / $236.16 / $320.61	Facility	26	$106.03	$236.16	$320.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.29 / $475.00 / $608.00	Professional		$192.29	$475.00	$608.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.20 / $127.50 / $154.00	Professional	26	$55.20	$127.50	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.48 / $276.50 / $354.49	Professional	TC	$120.48	$276.50	$354.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.26 / $179.07 / $193.82	Professional		$144.26	$179.07	$193.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.65 / $230.46 / $288.07	Professional		$201.65	$230.46	$288.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $68.28 / $78.03 / $97.54	Professional	26	$68.28	$78.03	$97.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $133.37 / $152.41 / $190.53	Professional	TC	$133.37	$152.41	$190.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.45 / $86.45 / $86.45	Facility	26	$86.45	$86.45	$86.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.89 / $301.95 / $538.29	Professional		$179.89	$301.95	$538.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.85 / $95.73 / $157.56	Professional	26	$54.85	$95.73	$157.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.03 / $202.05 / $367.51	Professional	TC	$125.03	$202.05	$367.51
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $707.68 / $707.68 / $707.68	Facility	26	$707.68	$707.68	$707.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $217.18 / $609.30 / $1,484.56	Professional		$217.18	$609.30	$1,484.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $66.34 / $71.45 / $478.82	Professional	26	$66.34	$71.45	$478.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $147.55 / $541.89 / $1,005.68	Professional	TC	$147.55	$541.89	$1,005.68
United Facility/Professional Professional Modifier Low / Median / High Price $217.18 / $532.12 / $930.60	Professional		$217.18	$532.12	$930.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.34 / $70.61 / $148.33	Professional	26	$66.34	$70.61	$148.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.55 / $387.47 / $763.70	Professional	TC	$147.55	$387.47	$763.70