Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.34 / $189.51 / $236.88	Facility	26	$78.34	$189.51	$236.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.22 / $192.97 / $961.00	Professional		$162.22	$192.97	$961.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.54 / $60.07 / $309.00	Professional	26	$51.54	$60.07	$309.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $110.68 / $125.34 / $244.85	Professional	TC	$110.68	$125.34	$244.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $166.83 / $166.83 / $166.83	Professional		$166.83	$166.83	$166.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $74.40 / $74.40 / $74.40	Professional	26	$74.40	$74.40	$74.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.35 / $199.14 / $964.57	Professional		$149.35	$199.14	$964.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.60 / $55.47 / $268.69	Professional	26	$41.60	$55.47	$268.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $107.75 / $143.66 / $695.87	Professional	TC	$107.75	$143.66	$695.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.28 / $246.09 / $359.57	Professional		$145.28	$246.09	$359.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.93 / $73.06 / $120.11	Professional	26	$46.93	$73.06	$120.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $98.35 / $169.61 / $239.46	Professional	TC	$98.35	$169.61	$239.46
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $132.57 / $254.13 / $254.13	Facility	26	$132.57	$254.13	$254.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $149.78 / $178.12 / $1,809.00	Professional		$149.78	$178.12	$1,809.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $48.89 / $55.77 / $543.00	Professional	26	$48.89	$55.77	$543.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $102.26 / $128.52 / $1,266.00	Professional	TC	$102.26	$128.52	$1,266.00
United Facility/Professional Professional Modifier Low / Median / High Price $149.78 / $178.12 / $334.87	Professional		$149.78	$178.12	$334.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.89 / $52.73 / $129.02	Professional	26	$48.89	$52.73	$129.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $100.93 / $125.43 / $224.34	Professional	TC	$100.93	$125.43	$224.34