Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.81 / $102.37 / $119.26	Facility	26	$55.81	$102.37	$119.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.42 / $273.08 / $515.10	Professional		$223.42	$273.08	$515.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.34 / $37.59 / $56.38	Professional	26	$34.34	$37.59	$56.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $189.08 / $236.99 / $361.09	Professional	TC	$189.08	$236.99	$361.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $209.46 / $209.46 / $209.46	Professional		$209.46	$209.46	$209.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.46 / $35.46 / $35.46	Professional	26	$35.46	$35.46	$35.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.09 / $246.78 / $308.48	Professional		$185.09	$246.78	$308.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.12 / $37.50 / $46.87	Professional	26	$28.12	$37.50	$46.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $156.97 / $209.29 / $261.61	Professional	TC	$156.97	$209.29	$261.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.98 / $42.98 / $42.98	Facility	26	$42.98	$42.98	$42.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.21 / $322.24 / $564.95	Professional		$243.21	$322.24	$564.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.35 / $47.70 / $83.60	Professional	26	$36.35	$47.70	$83.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $206.10 / $274.54 / $483.46	Professional	TC	$206.10	$274.54	$483.46
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $86.46 / $171.05 / $171.05	Facility	26	$86.46	$171.05	$171.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $233.43 / $308.73 / $1,627.28	Professional		$233.43	$308.73	$1,627.28
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $34.72 / $45.11 / $234.31	Professional	26	$34.72	$45.11	$234.31
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $199.33 / $263.63 / $1,392.98	Professional	TC	$199.33	$263.63	$1,392.98
United Facility/Professional Professional Modifier Low / Median / High Price $233.43 / $286.14 / $498.33	Professional		$233.43	$286.14	$498.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.11 / $41.80 / $72.80	Professional	26	$34.11	$41.80	$72.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $197.24 / $244.34 / $425.53	Professional	TC	$197.24	$244.34	$425.53