Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.80 / $179.28 / $239.02	Facility	26	$82.80	$179.28	$239.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $201.17 / $819.91	Professional		$130.22	$201.17	$819.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.67 / $93.35 / $951.00	Professional	26	$53.67	$93.35	$951.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.40 / $95.45 / $389.70	Professional	TC	$67.40	$95.45	$389.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.38 / $132.63 / $138.66	Professional		$78.38	$132.63	$138.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $49.45 / $100.63 / $100.63	Professional	26	$49.45	$100.63	$100.63
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $71.77 / $71.77 / $71.77	Professional	TC	$71.77	$71.77	$71.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.74 / $131.74 / $152.16	Professional		$131.74	$131.74	$152.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.16 / $63.16 / $78.95	Professional	26	$63.16	$63.16	$78.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $66.87 / $68.58 / $136.74	Professional	TC	$66.87	$68.58	$136.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.53 / $183.45 / $270.42	Professional		$104.53	$183.45	$270.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.75 / $77.62 / $122.90	Professional	26	$50.75	$77.62	$122.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.78 / $109.30 / $163.94	Professional	TC	$53.78	$109.30	$163.94
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $141.46 / $347.58 / $347.58	Facility	26	$141.46	$347.58	$347.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $153.65 / $198.36 / $1,049.00	Professional		$153.65	$198.36	$1,049.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $68.78 / $78.50 / $855.01	Professional	26	$68.78	$78.50	$855.01
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $80.06 / $121.36 / $724.87	Professional	TC	$80.06	$121.36	$724.87
United Facility/Professional Professional Modifier Low / Median / High Price $151.68 / $191.96 / $278.89	Professional		$151.68	$191.96	$278.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.65 / $77.54 / $115.16	Professional	26	$67.65	$77.54	$115.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.89 / $109.76 / $150.62	Professional	TC	$78.89	$109.76	$150.62