Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.06 / $209.50 / $303.91	Professional		$173.06	$209.50	$303.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.05 / $38.82 / $49.06	Professional	26	$26.05	$38.82	$49.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $143.21 / $173.01 / $265.72	Professional	TC	$143.21	$173.01	$265.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $193.73 / $193.73 / $309.95	Professional		$193.73	$193.73	$309.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.64 / $46.64 / $54.42	Professional	26	$46.64	$46.64	$54.42
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $164.57 / $164.57 / $164.57	Professional	TC	$164.57	$164.57	$164.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.25 / $181.19 / $203.84	Professional		$113.25	$181.19	$203.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.82 / $26.93 / $30.29	Professional	26	$16.82	$26.93	$30.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $96.42 / $154.26 / $173.55	Professional	TC	$96.42	$154.26	$173.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.30 / $191.94 / $353.51	Professional		$117.30	$191.94	$353.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.67 / $42.65 / $56.46	Professional	26	$20.67	$42.65	$56.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.08 / $148.47 / $307.97	Professional	TC	$91.08	$148.47	$307.97
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $183.18 / $183.18 / $183.18	Facility	26	$183.18	$183.18	$183.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.78 / $223.83 / $2,077.04	Professional		$123.78	$223.83	$2,077.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.73 / $42.49 / $267.88	Professional	26	$25.73	$42.49	$267.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $96.52 / $181.24 / $1,809.15	Professional	TC	$96.52	$181.24	$1,809.15
United Facility/Professional Professional Modifier Low / Median / High Price $123.78 / $208.96 / $383.09	Professional		$123.78	$208.96	$383.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.73 / $27.88 / $57.60	Professional	26	$25.73	$27.88	$57.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $96.52 / $181.24 / $332.28	Professional	TC	$96.52	$181.24	$332.28