Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $131.83 / $177.83	Facility	26	$58.88	$131.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $309.03 / $1,047.13	Professional		$190.55	$309.03	$1,047.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $64.57 / $169.82	Professional	26	$32.36	$64.57	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $309.03 / $1,096.48	Professional	TC	$158.49	$309.03	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $281.84	Professional		$194.98	$234.42	$281.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $35.48 / $63.10	Professional	26	$27.54	$35.48	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $281.84 / $549.54	Professional		$275.42	$281.84	$549.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $39.81 / $77.62	Professional	26	$38.90	$39.81	$77.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $239.88 / $1,148.15	Professional	TC	$239.88	$239.88	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $446.68	Professional		$181.97	$288.40	$446.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $44.67 / $69.18	Professional	26	$31.62	$44.67	$69.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $245.47 / $407.38	Professional	TC	$147.91	$245.47	$407.38
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $467.74 / $467.74	Facility	26	$87.10	$467.74	$467.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $338.84 / $2,398.83	Professional		$229.09	$338.84	$2,398.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $46.77 / $724.44	Professional	26	$39.81	$46.77	$724.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $295.12 / $1,659.59	Professional	TC	$181.97	$295.12	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $288.40 / $426.58	Professional		$229.09	$288.40	$426.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $45.71 / $61.66	Professional	26	$38.90	$45.71	$61.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $245.47 / $363.08	Professional	TC	$181.97	$245.47	$363.08