Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $208.93 / $281.84	Facility	26	$93.33	$208.93	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $218.78 / $1,258.93	Professional		$102.33	$218.78	$1,258.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $223.87 / $933.25	Professional	26	$57.54	$223.87	$933.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $100.00 / $426.58	Professional	TC	$56.23	$100.00	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $141.25	Professional		$93.33	$114.82	$141.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $57.54 / $100.00	Professional	26	$45.71	$57.54	$100.00
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $74.13 / $87.10	Professional	TC	$74.13	$74.13	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $263.03	Professional		$131.83	$131.83	$263.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $64.57 / $125.89	Professional	26	$63.10	$64.57	$125.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $69.18 / $331.13	Professional	TC	$69.18	$69.18	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $263.03	Professional		$120.23	$181.97	$263.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $77.62 / $114.82	Professional	26	$52.48	$77.62	$114.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $97.72 / $162.18	Professional	TC	$60.26	$97.72	$162.18
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $346.74 / $346.74	Facility	26	$141.25	$346.74	$346.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $1,047.13	Professional		$154.88	$194.98	$1,047.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $77.62 / $851.14	Professional	26	$69.18	$77.62	$851.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $112.20 / $724.44	Professional	TC	$81.28	$112.20	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $251.19	Professional		$151.36	$190.55	$251.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $77.62 / $102.33	Professional	26	$64.57	$77.62	$102.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $109.65 / $141.25	Professional	TC	$79.43	$109.65	$141.25