Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $309.45 / $689.23 / $935.73	Facility	26	$309.45	$689.23	$935.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.44 / $517.91 / $1,183.32	Professional		$427.44	$517.91	$1,183.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $188.34 / $264.77 / $1,047.00	Professional	26	$188.34	$264.77	$1,047.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $239.11 / $291.82 / $616.42	Professional	TC	$239.11	$291.82	$616.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $294.14 / $452.54 / $497.79	Professional		$294.14	$452.54	$497.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $184.94 / $376.41 / $376.41	Professional	26	$184.94	$376.41	$376.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $482.09 / $494.46 / $651.73	Professional		$482.09	$494.46	$651.73
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $236.22 / $236.22 / $295.27	Professional	26	$236.22	$236.22	$295.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $251.78 / $258.23 / $514.85	Professional	TC	$251.78	$258.23	$514.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $388.22 / $612.79 / $969.84	Professional		$388.22	$612.79	$969.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $189.86 / $284.45 / $442.84	Professional	26	$189.86	$284.45	$442.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $198.36 / $324.45 / $527.01	Professional	TC	$198.36	$324.45	$527.01
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $528.44 / $1,030.91 / $1,030.91	Facility	26	$528.44	$1,030.91	$1,030.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $544.91 / $628.12 / $2,895.04	Professional		$544.91	$628.12	$2,895.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $239.03 / $297.95 / $1,405.16	Professional	26	$239.03	$297.95	$1,405.16
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $291.17 / $331.11 / $1,489.88	Professional	TC	$291.17	$331.11	$1,489.88
United Facility/Professional Professional Modifier Low / Median / High Price $509.86 / $621.64 / $911.96	Professional		$509.86	$621.64	$911.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $237.88 / $290.52 / $452.89	Professional	26	$237.88	$290.52	$452.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $291.17 / $331.11 / $501.82	Professional	TC	$291.17	$331.11	$501.82