Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.85 / $159.32 / $185.60	Facility	26	$86.85	$159.32	$185.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.75 / $183.03 / $370.77	Professional		$106.75	$183.03	$370.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.11 / $65.18 / $185.28	Professional	26	$54.11	$65.18	$185.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.64 / $119.93 / $190.84	Professional	TC	$52.64	$119.93	$190.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.64 / $105.64 / $105.64	Professional		$105.64	$105.64	$105.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.01 / $117.34 / $146.68	Professional		$88.01	$117.34	$146.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.30 / $59.07 / $73.84	Professional	26	$44.30	$59.07	$73.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.70 / $58.27 / $72.84	Professional	TC	$43.70	$58.27	$72.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.87 / $67.87 / $67.87	Facility	26	$67.87	$67.87	$67.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.30 / $174.21 / $270.05	Professional		$114.30	$174.21	$270.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.68 / $72.86 / $134.69	Professional	26	$57.68	$72.86	$134.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.09 / $107.82 / $163.22	Professional	TC	$56.09	$107.82	$163.22
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $139.35 / $352.88 / $352.88	Facility	26	$139.35	$352.88	$352.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.86 / $184.68 / $1,060.27	Professional		$112.86	$184.68	$1,060.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.42 / $72.81 / $369.36	Professional	26	$54.42	$72.81	$369.36
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $56.43 / $109.20 / $707.89	Professional	TC	$56.43	$109.20	$707.89
United Facility/Professional Professional Modifier Low / Median / High Price $110.72 / $173.16 / $262.08	Professional		$110.72	$173.16	$262.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.25 / $65.86 / $114.87	Professional	26	$54.25	$65.86	$114.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.72 / $96.36 / $142.33	Professional	TC	$54.72	$96.36	$142.33