Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.94 / $81.17 / $157.11	Facility	26	$47.94	$81.17	$157.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.88 / $488.99 / $2,125.00	Professional		$401.88	$488.99	$2,125.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.71 / $50.19 / $229.68	Professional	26	$36.71	$50.19	$229.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $358.29 / $433.43 / $907.16	Professional	TC	$358.29	$433.43	$907.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $313.39 / $339.20 / $383.45	Professional		$313.39	$339.20	$383.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.99 / $39.99 / $55.99	Professional	26	$39.99	$39.99	$55.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.83 / $457.11 / $2,214.14	Professional		$342.83	$457.11	$2,214.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.32 / $41.76 / $202.28	Professional	26	$31.32	$41.76	$202.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $311.51 / $415.35 / $2,011.86	Professional	TC	$311.51	$415.35	$2,011.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.75 / $573.99 / $906.15	Professional		$338.75	$573.99	$906.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.51 / $57.18 / $85.77	Professional	26	$35.51	$57.18	$85.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $303.24 / $515.22 / $819.36	Professional	TC	$303.24	$515.22	$819.36
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $99.49 / $189.21 / $189.21	Facility	26	$99.49	$189.21	$189.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $382.19 / $425.50 / $2,679.53	Professional		$382.19	$425.50	$2,679.53
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $36.01 / $40.92 / $266.22	Professional	26	$36.01	$40.92	$266.22
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $346.31 / $385.55 / $2,413.31	Professional	TC	$346.31	$385.55	$2,413.31
United Facility/Professional Professional Modifier Low / Median / High Price $382.19 / $425.49 / $867.02	Professional		$382.19	$425.49	$867.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.88 / $39.94 / $84.04	Professional	26	$35.88	$39.94	$84.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $346.31 / $385.55 / $861.84	Professional	TC	$346.31	$385.55	$861.84