Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.61 / $104.99 / $174.26	Facility	26	$54.61	$104.99	$174.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.91 / $294.64 / $1,126.00	Professional		$236.91	$294.64	$1,126.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.61 / $100.82 / $372.50	Professional	26	$54.61	$100.82	$372.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.34 / $187.26 / $448.61	Professional	TC	$162.34	$187.26	$448.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $192.60 / $234.44 / $345.49	Professional		$192.60	$234.44	$345.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.24 / $51.72 / $123.73	Professional	26	$41.24	$51.72	$123.73
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $151.36 / $151.36	Professional	TC	$151.36	$151.36	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.11 / $261.48 / $326.85	Professional		$196.11	$261.48	$326.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.65 / $54.20 / $67.75	Professional	26	$40.65	$54.20	$67.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $155.46 / $207.28 / $259.10	Professional	TC	$155.46	$207.28	$259.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.58 / $62.58 / $62.58	Facility	26	$62.58	$62.58	$62.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.36 / $384.19 / $596.96	Professional		$261.36	$384.19	$596.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.61 / $87.84 / $135.78	Professional	26	$54.61	$87.84	$135.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $206.75 / $300.87 / $473.00	Professional	TC	$206.75	$300.87	$473.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $127.27 / $377.88 / $377.88	Facility	26	$127.27	$377.88	$377.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $258.39 / $403.87 / $2,362.07	Professional		$258.39	$403.87	$2,362.07
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $53.80 / $92.88 / $507.12	Professional	26	$53.80	$92.88	$507.12
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $204.59 / $311.63 / $1,854.93	Professional	TC	$204.59	$311.63	$1,854.93
United Facility/Professional Professional Modifier Low / Median / High Price $249.24 / $360.18 / $595.90	Professional		$249.24	$360.18	$595.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.54 / $80.91 / $125.94	Professional	26	$50.54	$80.91	$125.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $201.37 / $275.08 / $474.60	Professional	TC	$201.37	$275.08	$474.60