Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.52 / $123.87 / $144.30	Facility	26	$67.52	$123.87	$144.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.81 / $232.96 / $516.13	Professional		$195.81	$232.96	$516.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.12 / $48.57 / $222.00	Professional	26	$41.12	$48.57	$222.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.49 / $191.84 / $424.88	Professional	TC	$162.49	$191.84	$424.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $242.66 / $242.66 / $339.72	Professional		$242.66	$242.66	$339.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.04 / $37.99 / $59.96	Professional	26	$34.04	$37.99	$59.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.96 / $257.27 / $321.60	Professional		$192.96	$257.27	$321.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.70 / $44.93 / $56.16	Professional	26	$33.70	$44.93	$56.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $159.26 / $212.35 / $265.44	Professional	TC	$159.26	$212.35	$265.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.19 / $52.19 / $52.19	Facility	26	$52.19	$52.19	$52.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.37 / $348.61 / $599.21	Professional		$263.37	$348.61	$599.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.35 / $55.46 / $102.70	Professional	26	$43.35	$55.46	$102.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.18 / $295.06 / $512.10	Professional	TC	$218.18	$295.06	$512.10
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $104.57 / $202.83 / $202.83	Facility	26	$104.57	$202.83	$202.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $250.10 / $348.28 / $1,904.10	Professional		$250.10	$348.28	$1,904.10
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $41.85 / $54.46 / $588.72	Professional	26	$41.85	$54.46	$588.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $209.55 / $298.83 / $1,640.58	Professional	TC	$209.55	$298.83	$1,640.58
United Facility/Professional Professional Modifier Low / Median / High Price $250.10 / $319.79 / $522.87	Professional		$250.10	$319.79	$522.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.42 / $49.68 / $87.13	Professional	26	$41.42	$49.68	$87.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $199.49 / $274.39 / $432.23	Professional	TC	$199.49	$274.39	$432.23