Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.13 / $327.72 / $444.92	Facility	26	$147.13	$327.72	$444.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.22 / $204.44 / $744.49	Professional		$151.22	$204.44	$744.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.92 / $127.73 / $586.00	Professional	26	$90.92	$127.73	$586.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.77 / $97.78 / $170.82	Professional	TC	$39.77	$97.78	$170.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.01 / $154.02 / $161.02	Professional		$91.01	$154.02	$161.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $178.54 / $178.54 / $178.54	Professional	26	$178.54	$178.54	$178.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.84 / $152.51 / $198.17	Professional		$149.84	$152.51	$198.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $112.05 / $112.05 / $140.06	Professional	26	$112.05	$112.05	$140.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.45 / $40.46 / $80.68	Professional	TC	$39.45	$40.46	$80.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.90 / $233.65 / $438.15	Professional		$116.90	$233.65	$438.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.06 / $134.63 / $213.55	Professional	26	$90.06	$134.63	$213.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.84 / $50.54 / $314.08	Professional	TC	$26.84	$50.54	$314.08
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $250.54 / $722.52 / $722.52	Facility	26	$250.54	$722.52	$722.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $167.58 / $305.31 / $3,014.42	Professional		$167.58	$305.31	$3,014.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $115.72 / $135.05 / $1,056.82	Professional	26	$115.72	$135.05	$1,056.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $32.47 / $121.46 / $2,488.46	Professional	TC	$32.47	$121.46	$2,488.46
United Facility/Professional Professional Modifier Low / Median / High Price $164.14 / $216.99 / $446.23	Professional		$164.14	$216.99	$446.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $115.88 / $132.96 / $237.19	Professional	26	$115.88	$132.96	$237.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.18 / $60.88 / $321.64	Professional	TC	$31.18	$60.88	$321.64