Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $83.18 / $123.03	Facility	26	$67.61	$83.18	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $602.56	Professional		$186.21	$269.15	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $95.50 / $181.97	Professional	26	$72.44	$95.50	$181.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $169.82 / $288.40	Professional	TC	$123.03	$169.82	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $199.53 / $269.15	Professional		$194.98	$199.53	$269.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $97.72 / $112.20	Professional	26	$72.44	$97.72	$112.20
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $288.40 / $288.40	Professional	TC	$288.40	$288.40	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $223.87 / $302.00	Professional		$81.28	$223.87	$302.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $141.25 / $141.25	Facility	26	$141.25	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $398.11	Professional		$213.80	$309.03	$398.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $114.82 / $147.91	Professional	26	$83.18	$114.82	$147.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $186.21 / $269.15	Professional	TC	$141.25	$186.21	$269.15
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 $204.17 / $288.40 / $2,398.83	Professional		$204.17	$288.40	$2,398.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $100.00 / $524.81	Professional	26	$74.13	$100.00	$524.81
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $173.78 / $977.24	Professional	TC	$128.82	$173.78	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $380.19	Professional		$199.53	$251.19	$380.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $91.20 / $138.04	Professional	26	$70.79	$91.20	$138.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $158.49 / $234.42	Professional	TC	$120.23	$158.49	$234.42