Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.46 / $158.62 / $184.78	Facility	26	$86.46	$158.62	$184.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.62 / $167.88 / $333.51	Professional		$152.62	$167.88	$333.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.08 / $59.07 / $126.00	Professional	26	$53.08	$59.07	$126.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.53 / $109.01 / $209.42	Professional	TC	$99.53	$109.01	$209.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.85 / $281.85 / $281.85	Professional		$281.85	$281.85	$281.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.14 / $168.18 / $210.23	Professional		$126.14	$168.18	$210.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.51 / $58.01 / $72.51	Professional	26	$43.51	$58.01	$72.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $82.63 / $110.18 / $137.72	Professional	TC	$82.63	$110.18	$137.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.70 / $66.70 / $66.70	Facility	26	$66.70	$66.70	$66.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.32 / $362.28 / $667.34	Professional		$277.32	$362.28	$667.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.79 / $68.86 / $130.28	Professional	26	$54.79	$68.86	$130.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $222.23 / $292.81 / $536.45	Professional	TC	$222.23	$292.81	$536.45
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $134.77 / $261.89 / $261.89	Facility	26	$134.77	$261.89	$261.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $270.30 / $358.08 / $1,731.57	Professional		$270.30	$358.08	$1,731.57
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.56 / $66.40 / $367.94	Professional	26	$52.56	$66.40	$367.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $220.10 / $288.00 / $1,410.54	Professional	TC	$220.10	$288.00	$1,410.54
United Facility/Professional Professional Modifier Low / Median / High Price $270.30 / $335.85 / $566.41	Professional		$270.30	$335.85	$566.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.20 / $63.46 / $110.61	Professional	26	$52.20	$63.46	$110.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $216.58 / $272.88 / $469.89	Professional	TC	$216.58	$272.88	$469.89