Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.81 / $72.69 / $119.98	Facility	26	$37.81	$72.69	$119.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.25 / $232.99 / $808.75	Professional		$143.25	$232.99	$808.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.21 / $63.40 / $242.00	Professional	26	$36.21	$63.40	$242.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.50 / $169.58 / $293.55	Professional	TC	$99.50	$169.58	$293.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.25 / $137.59 / $209.37	Professional		$117.25	$137.59	$209.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.52 / $35.81 / $86.48	Professional	26	$28.52	$35.81	$86.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.75 / $147.66 / $199.55	Professional		$110.75	$147.66	$199.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.15 / $37.54 / $46.92	Professional	26	$28.15	$37.54	$46.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $82.60 / $110.14 / $137.66	Professional	TC	$82.60	$110.14	$137.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.24 / $43.24 / $43.24	Facility	26	$43.24	$43.24	$43.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.79 / $228.36 / $355.89	Professional		$155.79	$228.36	$355.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.40 / $57.76 / $90.85	Professional	26	$37.40	$57.76	$90.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $118.39 / $170.31 / $267.17	Professional	TC	$118.39	$170.31	$267.17
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $88.37 / $251.76 / $251.76	Facility	26	$88.37	$251.76	$251.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $153.12 / $234.80 / $1,354.08	Professional		$153.12	$234.80	$1,354.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $37.29 / $61.20 / $335.64	Professional	26	$37.29	$61.20	$335.64
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $115.50 / $168.48 / $1,018.44	Professional	TC	$115.50	$168.48	$1,018.44
United Facility/Professional Professional Modifier Low / Median / High Price $145.35 / $208.81 / $344.85	Professional		$145.35	$208.81	$344.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.70 / $57.00 / $87.30	Professional	26	$36.70	$57.00	$87.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $110.93 / $153.55 / $250.14	Professional	TC	$110.93	$153.55	$250.14