Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $288.40 / $346.74	Facility	26	$199.53	$288.40	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $380.19 / $1,148.15	Professional		$229.09	$380.19	$1,148.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $138.04 / $398.11	Professional	26	$77.62	$138.04	$398.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $177.83 / $426.58	Professional	TC	$138.04	$177.83	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $446.68	Professional		$199.53	$257.04	$446.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $81.28 / $134.90	Professional	26	$77.62	$81.28	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $309.03 / $537.03	Professional		$275.42	$309.03	$537.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $112.20 / $190.55	Professional	26	$97.72	$112.20	$190.55
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $199.53 / $346.74	Professional	TC	$177.83	$199.53	$346.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $93.33 / $131.83	Facility	26	$19.95	$93.33	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $501.19	Professional		$234.42	$316.23	$501.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $112.20 / $186.21	Professional	26	$83.18	$112.20	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $190.55 / $338.84	Professional	TC	$144.54	$190.55	$338.84
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $190.55 / $363.08 / $363.08	Facility	26	$190.55	$363.08	$363.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $2,398.83	Professional		$213.80	$302.00	$2,398.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $112.20 / $524.81	Professional	26	$77.62	$112.20	$524.81
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $194.98 / $977.24	Professional	TC	$138.04	$194.98	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $426.58	Professional		$213.80	$269.15	$426.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $97.72 / $154.88	Professional	26	$74.13	$97.72	$154.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $173.78 / $269.15	Professional	TC	$138.04	$173.78	$269.15