Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.50 / $228.61 / $285.74	Facility	26	$94.50	$228.61	$285.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $439.18 / $500.12 / $2,448.00	Professional		$439.18	$500.12	$2,448.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.28 / $72.75 / $405.65	Professional	26	$64.28	$72.75	$405.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $369.68 / $417.99 / $780.72	Professional	TC	$369.68	$417.99	$780.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $342.48 / $370.69 / $402.92	Professional		$342.48	$370.69	$402.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $89.28 / $89.28 / $89.28	Professional	26	$89.28	$89.28	$89.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.98 / $507.98 / $2,460.51	Professional		$380.98	$507.98	$2,460.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.57 / $79.42 / $384.71	Professional	26	$59.57	$79.42	$384.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $321.41 / $428.55 / $2,075.80	Professional	TC	$321.41	$428.55	$2,075.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $576.12 / $770.78 / $1,082.08	Professional		$576.12	$770.78	$1,082.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.84 / $90.81 / $141.15	Professional	26	$46.84	$90.81	$141.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $491.32 / $624.54 / $934.82	Professional	TC	$491.32	$624.54	$934.82
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $160.18 / $301.25 / $301.25	Facility	26	$160.18	$301.25	$301.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.07 / $453.19 / $2,121.60	Professional		$407.07	$453.19	$2,121.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $59.02 / $65.70 / $290.95	Professional	26	$59.02	$65.70	$290.95
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $348.05 / $387.48 / $1,773.08	Professional	TC	$348.05	$387.48	$1,773.08
United Facility/Professional Professional Modifier Low / Median / High Price $407.07 / $453.19 / $931.16	Professional		$407.07	$453.19	$931.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.02 / $65.70 / $135.01	Professional	26	$59.02	$65.70	$135.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $347.43 / $387.48 / $796.15	Professional	TC	$347.43	$387.48	$796.15