Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.08 / $202.78 / $295.67	Facility	26	$97.08	$202.78	$295.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.85 / $515.37 / $2,340.00	Professional		$342.85	$515.37	$2,340.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.56 / $88.26 / $414.00	Professional	26	$68.56	$88.26	$414.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $274.27 / $380.26 / $716.86	Professional	TC	$274.27	$380.26	$716.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $339.40 / $339.40 / $368.91	Professional		$339.40	$339.40	$368.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $292.80 / $292.80 / $292.80	Professional	26	$292.80	$292.80	$292.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.15 / $450.87 / $2,183.91	Professional		$338.15	$450.87	$2,183.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.40 / $72.54 / $351.35	Professional	26	$54.40	$72.54	$351.35
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $283.75 / $378.34 / $1,832.57	Professional	TC	$283.75	$378.34	$1,832.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.52 / $560.85 / $790.66	Professional		$339.52	$560.85	$790.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.71 / $100.51 / $156.61	Professional	26	$61.71	$100.51	$156.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $277.81 / $400.62 / $634.04	Professional	TC	$277.81	$400.62	$634.04
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $173.90 / $328.49 / $328.49	Facility	26	$173.90	$328.49	$328.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.66 / $391.43 / $1,641.77	Professional		$338.66	$391.43	$1,641.77
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $66.43 / $74.08 / $462.06	Professional	26	$66.43	$74.08	$462.06
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $264.58 / $324.55 / $2,230.02	Professional	TC	$264.58	$324.55	$2,230.02
United Facility/Professional Professional Modifier Low / Median / High Price $338.66 / $391.43 / $985.80	Professional		$338.66	$391.43	$985.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.34 / $74.08 / $168.43	Professional	26	$66.34	$74.08	$168.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $264.58 / $324.55 / $591.41	Professional	TC	$264.58	$324.55	$591.41