Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.65 / $77.28 / $148.35	Facility	26	$45.65	$77.28	$148.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.62 / $283.07 / $1,433.00	Professional		$229.62	$283.07	$1,433.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.75 / $42.86 / $213.00	Professional	26	$36.75	$42.86	$213.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $192.87 / $231.18 / $596.89	Professional	TC	$192.87	$231.18	$596.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $212.64 / $230.15 / $260.17	Professional		$212.64	$230.15	$260.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.39 / $56.39 / $65.86	Professional	26	$56.39	$56.39	$65.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.81 / $307.74 / $1,490.64	Professional		$230.81	$307.74	$1,490.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.81 / $39.74 / $192.51	Professional	26	$29.81	$39.74	$192.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $201.00 / $268.00 / $1,298.13	Professional	TC	$201.00	$268.00	$1,298.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.51 / $329.27 / $519.10	Professional		$229.51	$329.27	$519.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.79 / $52.38 / $85.82	Professional	26	$33.79	$52.38	$85.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $194.26 / $276.89 / $446.52	Professional	TC	$194.26	$276.89	$446.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $94.73 / $225.00 / $225.00	Facility	26	$94.73	$225.00	$225.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.21 / $264.43 / $1,813.42	Professional		$204.21	$264.43	$1,813.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $35.01 / $39.82 / $328.57	Professional	26	$35.01	$39.82	$328.57
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $168.78 / $227.31 / $1,562.23	Professional	TC	$168.78	$227.31	$1,562.23
United Facility/Professional Professional Modifier Low / Median / High Price $204.21 / $264.43 / $497.74	Professional		$204.21	$264.43	$497.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.01 / $37.11 / $79.20	Professional	26	$35.01	$37.11	$79.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $168.78 / $227.31 / $427.87	Professional	TC	$168.78	$227.31	$427.87