Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.56 / $64.45 / $93.98	Facility	26	$32.56	$64.45	$93.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.54 / $263.33 / $1,303.00	Professional		$220.54	$263.33	$1,303.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.60 / $24.08 / $134.25	Professional	26	$20.60	$24.08	$134.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $196.46 / $216.10 / $449.22	Professional	TC	$196.46	$216.10	$449.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.14 / $202.33 / $210.42	Professional		$186.14	$202.33	$210.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.09 / $22.09 / $93.00	Professional	26	$22.09	$22.09	$93.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.11 / $250.81 / $1,214.84	Professional		$188.11	$250.81	$1,214.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.29 / $23.06 / $111.68	Professional	26	$17.29	$23.06	$111.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $170.81 / $227.75 / $1,103.17	Professional	TC	$170.81	$227.75	$1,103.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.08 / $309.16 / $488.47	Professional		$185.08	$309.16	$488.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.61 / $31.09 / $48.37	Professional	26	$19.61	$31.09	$48.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $165.47 / $277.58 / $439.31	Professional	TC	$165.47	$277.58	$439.31
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $55.06 / $104.46 / $104.46	Facility	26	$55.06	$104.46	$104.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $206.29 / $229.66 / $1,459.76	Professional		$206.29	$229.66	$1,459.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.26 / $22.59 / $147.05	Professional	26	$20.26	$22.59	$147.05
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $186.03 / $207.11 / $1,312.71	Professional	TC	$186.03	$207.11	$1,312.71
United Facility/Professional Professional Modifier Low / Median / High Price $206.29 / $229.66 / $467.96	Professional		$206.29	$229.66	$467.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.26 / $22.55 / $50.40	Professional	26	$20.26	$22.55	$50.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.03 / $207.11 / $462.96	Professional	TC	$186.03	$207.11	$462.96