Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.21 / $135.31 / $199.02	Facility	26	$109.21	$135.31	$199.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.98 / $428.04 / $749.38	Professional		$380.98	$428.04	$749.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.42 / $58.62 / $87.49	Professional	26	$50.42	$58.62	$87.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $291.30 / $369.41 / $661.88	Professional	TC	$291.30	$369.41	$661.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.31 / $75.31 / $91.82	Professional	26	$75.31	$75.31	$91.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.35 / $400.47 / $500.59	Professional		$300.35	$400.47	$500.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.44 / $51.25 / $64.06	Professional	26	$38.44	$51.25	$64.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $261.92 / $349.22 / $436.53	Professional	TC	$261.92	$349.22	$436.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.81 / $64.81 / $64.81	Facility	26	$64.81	$64.81	$64.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.27 / $599.22 / $1,035.94	Professional		$406.27	$599.22	$1,035.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.86 / $89.20 / $153.94	Professional	26	$55.86	$89.20	$153.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $350.35 / $513.86 / $887.04	Professional	TC	$350.35	$513.86	$887.04
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $133.12 / $416.00 / $416.00	Facility	26	$133.12	$416.00	$416.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $374.79 / $528.26 / $3,905.69	Professional		$374.79	$528.26	$3,905.69
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.20 / $90.72 / $617.51	Professional	26	$52.20	$90.72	$617.51
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $311.44 / $440.30 / $3,576.06	Professional	TC	$311.44	$440.30	$3,576.06
United Facility/Professional Professional Modifier Low / Median / High Price $374.08 / $455.36 / $904.69	Professional		$374.08	$455.36	$904.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.08 / $81.78 / $135.33	Professional	26	$52.08	$81.78	$135.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $305.37 / $380.80 / $716.90	Professional	TC	$305.37	$380.80	$716.90