Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.44 / $154.66 / $209.97	Facility	26	$69.44	$154.66	$209.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.73 / $384.10 / $1,899.00	Professional		$318.73	$384.10	$1,899.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.85 / $51.67 / $247.00	Professional	26	$45.85	$51.67	$247.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $272.87 / $308.92 / $661.97	Professional	TC	$272.87	$308.92	$661.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $294.73 / $294.73 / $320.36	Professional		$294.73	$294.73	$320.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.36 / $66.36 / $66.36	Professional	26	$66.36	$66.36	$66.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.79 / $394.39 / $1,910.34	Professional		$295.79	$394.39	$1,910.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.10 / $49.47 / $239.63	Professional	26	$37.10	$49.47	$239.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $258.69 / $344.92 / $1,670.71	Professional	TC	$258.69	$344.92	$1,670.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.77 / $429.98 / $691.41	Professional		$295.77	$429.98	$691.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.09 / $65.56 / $105.89	Professional	26	$42.09	$65.56	$105.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $253.68 / $369.95 / $585.52	Professional	TC	$253.68	$369.95	$585.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $118.60 / $236.00 / $236.00	Facility	26	$118.60	$236.00	$236.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $293.11 / $341.12 / $2,348.14	Professional		$293.11	$341.12	$2,348.14
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $43.40 / $50.04 / $379.76	Professional	26	$43.40	$50.04	$379.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $248.34 / $295.42 / $2,034.68	Professional	TC	$248.34	$295.42	$2,034.68
United Facility/Professional Professional Modifier Low / Median / High Price $293.11 / $341.12 / $735.93	Professional		$293.11	$341.12	$735.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.40 / $50.08 / $99.11	Professional	26	$43.40	$50.08	$99.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $248.34 / $295.42 / $556.08	Professional	TC	$248.34	$295.42	$556.08