Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.10 / $116.04 / $157.54	Facility	26	$52.10	$116.04	$157.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.22 / $273.94 / $1,006.00	Professional		$171.22	$273.94	$1,006.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.35 / $43.43 / $175.00	Professional	26	$30.35	$43.43	$175.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $140.87 / $235.28 / $786.00	Professional	TC	$140.87	$235.28	$786.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.05 / $279.32 / $292.02	Professional		$165.05	$279.32	$292.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.44 / $62.44 / $62.44	Professional	26	$62.44	$62.44	$62.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.61 / $278.61 / $348.26	Professional		$278.61	$278.61	$348.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.20 / $39.18 / $48.98	Professional	26	$38.20	$39.18	$48.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $233.44 / $239.42 / $477.35	Professional	TC	$233.44	$239.42	$477.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.60 / $273.89 / $467.31	Professional		$182.60	$273.89	$467.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.97 / $45.15 / $71.20	Professional	26	$31.97	$45.15	$71.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $149.01 / $223.74 / $403.26	Professional	TC	$149.01	$223.74	$403.26
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $87.34 / $463.50 / $463.50	Facility	26	$87.34	$463.50	$463.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $228.61 / $330.82 / $2,395.00	Professional		$228.61	$330.82	$2,395.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $38.76 / $46.34 / $719.00	Professional	26	$38.76	$46.34	$719.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $186.19 / $284.97 / $1,676.00	Professional	TC	$186.19	$284.97	$1,676.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.16 / $306.60 / $519.51	Professional		$228.16	$306.60	$519.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.60 / $45.65 / $70.81	Professional	26	$39.60	$45.65	$70.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $183.43 / $250.85 / $367.02	Professional	TC	$183.43	$250.85	$367.02