Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.13 / $145.02 / $306.36	Facility	26	$106.13	$145.02	$306.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.43 / $591.19 / $2,690.00	Professional		$433.43	$591.19	$2,690.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.62 / $83.44 / $391.51	Professional	26	$67.62	$83.44	$391.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $357.56 / $420.69 / $888.39	Professional	TC	$357.56	$420.69	$888.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $259.66 / $299.61 / $823.33	Professional		$259.66	$299.61	$823.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.44 / $96.86 / $100.02	Professional	26	$46.44	$96.86	$100.02
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $213.22 / $213.22 / $213.22	Professional	TC	$213.22	$213.22	$213.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.44 / $513.83 / $1,024.45	Professional		$408.44	$513.83	$1,024.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.76 / $78.34 / $379.52	Professional	26	$58.76	$78.34	$379.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $326.61 / $435.48 / $2,109.36	Professional	TC	$326.61	$435.48	$2,109.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.97 / $605.80 / $958.81	Professional		$364.97	$605.80	$958.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.67 / $100.49 / $158.47	Professional	26	$63.67	$100.49	$158.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $301.30 / $499.60 / $798.44	Professional	TC	$301.30	$499.60	$798.44
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $178.45 / $337.57 / $337.57	Facility	26	$178.45	$337.57	$337.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $411.98 / $557.87 / $2,898.56	Professional		$411.98	$557.87	$2,898.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $65.09 / $100.17 / $479.37	Professional	26	$65.09	$100.17	$479.37
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $340.83 / $457.70 / $2,419.25	Professional	TC	$340.83	$457.70	$2,419.25
United Facility/Professional Professional Modifier Low / Median / High Price $411.97 / $557.87 / $988.80	Professional		$411.97	$557.87	$988.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.09 / $100.17 / $206.40	Professional	26	$65.09	$100.17	$206.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $339.91 / $440.55 / $864.50	Professional	TC	$339.91	$440.55	$864.50