Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $316.23 / $363.08	Facility	26	$112.20	$316.23	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $295.12 / $933.25	Professional		$181.97	$295.12	$933.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $109.65 / $323.59	Professional	26	$61.66	$109.65	$323.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $169.82 / $371.54	Professional	TC	$120.23	$169.82	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $239.88	Professional		$144.54	$194.98	$239.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $56.23 / $69.18	Professional	26	$56.23	$56.23	$69.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $457.09	Professional		$199.53	$257.04	$457.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $87.10 / $154.88	Professional	26	$67.61	$87.10	$154.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $169.82 / $302.00	Professional	TC	$134.90	$169.82	$302.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $85.11 / $123.03	Facility	26	$18.62	$85.11	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $302.00 / $549.54	Professional		$181.97	$302.00	$549.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $91.20 / $162.18	Professional	26	$57.54	$91.20	$162.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $194.98 / $380.19	Professional	TC	$120.23	$194.98	$380.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $549.54 / $707.95 / $707.95	Facility	26	$549.54	$707.95	$707.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $602.56 / $1,479.11	Professional		$218.78	$602.56	$1,479.11
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $74.13 / $478.63	Professional	26	$66.07	$74.13	$478.63
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $478.63 / $1,000.00	Professional	TC	$147.91	$478.63	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $489.78 / $977.24	Professional		$218.78	$489.78	$977.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $70.79 / $125.89	Professional	26	$66.07	$70.79	$125.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $389.05 / $870.96	Professional	TC	$147.91	$389.05	$870.96