Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.54 / $108.11 / $146.77	Facility	26	$48.54	$108.11	$146.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.38 / $329.31 / $1,646.00	Professional		$299.38	$329.31	$1,646.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.39 / $41.56 / $189.00	Professional	26	$30.39	$41.56	$189.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.50 / $292.58 / $611.60	Professional	TC	$263.50	$292.58	$611.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $285.64 / $285.64 / $285.64	Professional		$285.64	$285.64	$285.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.61 / $46.10 / $46.10	Professional	26	$43.61	$46.10	$46.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.88 / $339.84 / $1,646.10	Professional		$254.88	$339.84	$1,646.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.78 / $34.38 / $166.51	Professional	26	$25.78	$34.38	$166.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $229.10 / $305.45 / $1,479.59	Professional	TC	$229.10	$305.45	$1,479.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.13 / $423.57 / $670.38	Professional		$252.13	$423.57	$670.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.23 / $46.95 / $71.20	Professional	26	$29.23	$46.95	$71.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $222.89 / $374.17 / $596.07	Professional	TC	$222.89	$374.17	$596.07
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $81.73 / $155.94 / $155.94	Facility	26	$81.73	$155.94	$155.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $279.19 / $312.77 / $1,991.14	Professional		$279.19	$312.77	$1,991.14
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $29.80 / $33.72 / $218.97	Professional	26	$29.80	$33.72	$218.97
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $249.39 / $277.64 / $1,772.11	Professional	TC	$249.39	$277.64	$1,772.11
United Facility/Professional Professional Modifier Low / Median / High Price $279.19 / $310.83 / $633.36	Professional		$279.19	$310.83	$633.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.80 / $33.18 / $68.16	Professional	26	$29.80	$33.18	$68.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $249.39 / $277.64 / $565.76	Professional	TC	$249.39	$277.64	$565.76