Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.85 / $71.39 / $149.68	Facility	26	$51.85	$71.39	$149.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $336.12 / $1,502.00	Professional		$251.87	$336.12	$1,502.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.17 / $46.39 / $191.84	Professional	26	$33.17	$46.39	$191.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.71 / $268.31 / $653.34	Professional	TC	$218.71	$268.31	$653.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $238.29 / $257.91 / $291.55	Professional		$238.29	$257.91	$291.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $49.24 / $49.24 / $50.69	Professional	26	$49.24	$49.24	$50.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.89 / $346.52 / $1,678.46	Professional		$259.89	$346.52	$1,678.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.55 / $36.72 / $177.90	Professional	26	$27.55	$36.72	$177.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $232.34 / $309.79 / $1,500.56	Professional	TC	$232.34	$309.79	$1,500.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.83 / $374.75 / $576.39	Professional		$249.83	$374.75	$576.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.23 / $48.86 / $78.09	Professional	26	$31.23	$48.86	$78.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $212.46 / $318.68 / $508.30	Professional	TC	$212.46	$318.68	$508.30
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $87.37 / $168.00 / $168.00	Facility	26	$87.37	$168.00	$168.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $216.45 / $296.73 / $2,023.55	Professional		$216.45	$296.73	$2,023.55
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $31.89 / $36.51 / $267.48	Professional	26	$31.89	$36.51	$267.48
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $184.56 / $260.58 / $1,789.49	Professional	TC	$184.56	$260.58	$1,789.49
United Facility/Professional Professional Modifier Low / Median / High Price $216.45 / $292.02 / $549.71	Professional		$216.45	$292.02	$549.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.89 / $33.75 / $72.80	Professional	26	$31.89	$33.75	$72.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $184.56 / $260.58 / $650.24	Professional	TC	$184.56	$260.58	$650.24