Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $151.36 / $181.97	Facility	26	$104.71	$151.36	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $602.56	Professional		$120.23	$162.18	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $52.48 / $190.55	Professional	26	$38.90	$52.48	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $112.20 / $263.03	Professional	TC	$79.43	$112.20	$263.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $54.95 / $75.86	Professional	26	$47.86	$54.95	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $147.91 / $257.04	Professional		$131.83	$147.91	$257.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $57.54 / $100.00	Professional	26	$51.29	$57.54	$100.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $89.13 / $154.88	Professional	TC	$79.43	$89.13	$154.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $48.98 / $70.79	Facility	26	$10.47	$48.98	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $194.98 / $302.00	Professional		$141.25	$194.98	$302.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $56.23 / $97.72	Professional	26	$42.66	$56.23	$97.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $141.25 / $208.93	Professional	TC	$93.33	$141.25	$208.93
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $213.80 / $213.80	Facility	26	$102.33	$213.80	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $199.53 / $1,096.48	Professional		$123.03	$199.53	$1,096.48
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $57.54 / $446.68	Professional	26	$40.74	$57.54	$446.68
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $138.04 / $870.96	Professional	TC	$83.18	$138.04	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $275.42	Professional		$123.03	$162.18	$275.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $50.12 / $79.43	Professional	26	$39.81	$50.12	$79.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $109.65 / $194.98	Professional	TC	$81.28	$109.65	$194.98