Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $194.98 / $245.47 / $269.15	Facility	26	$194.98	$245.47	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $933.25	Professional		$141.25	$199.53	$933.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $91.20 / $245.47	Professional	26	$42.66	$91.20	$245.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $128.82 / $354.81	Professional	TC	$89.13	$128.82	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $173.78	Professional		$165.96	$165.96	$173.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $42.66 / $74.13	Professional	26	$41.69	$42.66	$74.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $954.99	Professional		$199.53	$199.53	$954.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $54.95 / $269.15	Professional	26	$54.95	$54.95	$269.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $144.54 / $691.83	Professional	TC	$144.54	$144.54	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $363.08	Professional		$173.78	$251.19	$363.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $75.86 / $120.23	Professional	26	$46.77	$75.86	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $169.82 / $245.47	Professional	TC	$114.82	$169.82	$245.47
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $131.83 / $257.04 / $257.04	Facility	26	$131.83	$257.04	$257.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $1,819.70	Professional		$151.36	$190.55	$1,819.70
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $60.26 / $537.03	Professional	26	$48.98	$60.26	$537.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $128.82 / $1,258.93	Professional	TC	$102.33	$128.82	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $323.59	Professional		$147.91	$177.83	$323.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $51.29 / $102.33	Professional	26	$48.98	$51.29	$102.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $128.82 / $213.80	Professional	TC	$100.00	$128.82	$213.80