Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $122.40 / $224.54 / $328.01	Facility	26	$122.40	$224.54	$328.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.13 / $281.74 / $1,139.00	Professional		$224.13	$281.74	$1,139.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.59 / $97.13 / $366.33	Professional	26	$79.59	$97.13	$366.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $137.69 / $172.59 / $311.39	Professional	TC	$137.69	$172.59	$311.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $196.24 / $226.19 / $305.26	Professional		$196.24	$226.19	$305.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $68.65 / $71.44 / $100.80	Professional	26	$68.65	$71.44	$100.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.17 / $274.89 / $343.61	Professional		$206.17	$274.89	$343.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.09 / $98.78 / $123.48	Professional	26	$74.09	$98.78	$123.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $132.08 / $176.10 / $220.13	Professional	TC	$132.08	$176.10	$220.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.46 / $93.46 / $93.46	Facility	26	$93.46	$93.46	$93.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.30 / $315.01 / $499.70	Professional		$235.30	$315.01	$499.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.98 / $112.23 / $185.37	Professional	26	$83.98	$112.23	$185.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $143.91 / $189.35 / $314.12	Professional	TC	$143.91	$189.35	$314.12
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $192.51 / $366.35 / $366.35	Facility	26	$192.51	$366.35	$366.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $215.34 / $289.14 / $2,380.40	Professional		$215.34	$289.14	$2,380.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $77.09 / $109.21 / $520.19	Professional	26	$77.09	$109.21	$520.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $137.05 / $185.32 / $982.86	Professional	TC	$137.05	$185.32	$982.86
United Facility/Professional Professional Modifier Low / Median / High Price $211.10 / $267.52 / $444.35	Professional		$211.10	$267.52	$444.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.03 / $97.69 / $163.80	Professional	26	$75.03	$97.69	$163.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $136.72 / $170.51 / $288.39	Professional	TC	$136.72	$170.51	$288.39