Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.89 / $211.44 / $507.13	Facility	26	$124.89	$211.44	$507.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.02 / $475.00 / $982.25	Professional		$313.02	$475.00	$982.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.61 / $140.00 / $361.00	Professional	26	$94.61	$140.00	$361.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $214.01 / $335.00 / $545.76	Professional	TC	$214.01	$335.00	$545.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $225.57 / $303.18 / $1,959.60	Professional		$225.57	$303.18	$1,959.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $83.33 / $104.16 / $202.21	Professional	26	$83.33	$104.16	$202.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.55 / $360.62 / $450.78	Professional		$315.55	$360.62	$450.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $98.81 / $112.93 / $141.16	Professional	26	$98.81	$112.93	$141.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $216.73 / $247.70 / $309.62	Professional	TC	$216.73	$247.70	$309.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.62 / $124.62 / $124.62	Facility	26	$124.62	$124.62	$124.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.35 / $490.24 / $809.52	Professional		$286.35	$490.24	$809.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.76 / $136.87 / $225.29	Professional	26	$78.76	$136.87	$225.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $203.84 / $332.06 / $605.88	Professional	TC	$203.84	$332.06	$605.88
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,020.08 / $1,020.08 / $1,020.08	Facility	26	$1,020.08	$1,020.08	$1,020.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $343.26 / $760.03 / $2,337.81	Professional		$343.26	$760.03	$2,337.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $69.26 / $100.00 / $687.65	Professional	26	$69.26	$100.00	$687.65
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $243.26 / $612.65 / $1,650.16	Professional	TC	$243.26	$612.65	$1,650.16
United Facility/Professional Professional Modifier Low / Median / High Price $343.26 / $584.73 / $997.54	Professional		$343.26	$584.73	$997.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.26 / $100.00 / $172.78	Professional	26	$69.26	$100.00	$172.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $243.26 / $496.13 / $848.64	Professional	TC	$243.26	$496.13	$848.64