Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $575.44	Professional		$173.78	$218.78	$575.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $41.69 / $501.19	Professional	26	$26.30	$41.69	$501.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $190.55 / $478.63	Professional	TC	$147.91	$190.55	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $46.77 / $54.95	Professional	26	$46.77	$46.77	$54.95
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $165.96 / $165.96	Professional	TC	$165.96	$165.96	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $186.21 / $257.04	Professional		$181.97	$186.21	$257.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $28.18 / $38.02	Professional	26	$26.92	$28.18	$38.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $158.49 / $218.78	Professional	TC	$154.88	$158.49	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $234.42 / $363.08	Professional		$117.49	$234.42	$363.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $42.66 / $58.88	Professional	26	$20.89	$42.66	$58.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $173.78 / $309.03	Professional	TC	$91.20	$173.78	$309.03
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	26	$181.97	$181.97	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $223.87 / $2,089.30	Professional		$123.03	$223.87	$2,089.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $37.15 / $269.15	Professional	26	$25.70	$37.15	$269.15
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $194.98 / $1,819.70	Professional	TC	$95.50	$194.98	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $208.93 / $407.38	Professional		$123.03	$208.93	$407.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $28.84 / $58.88	Professional	26	$25.12	$28.84	$58.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $181.97 / $346.74	Professional	TC	$95.50	$181.97	$346.74