Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $199.53 / $208.93	Facility	26	$114.82	$199.53	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $446.68 / $1,096.48	Professional		$380.19	$446.68	$1,096.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $75.86 / $263.03	Professional	26	$52.48	$75.86	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $380.19 / $794.33	Professional	TC	$323.59	$380.19	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $416.87	Professional		$407.38	$407.38	$416.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $53.70 / $70.79	Professional	26	$53.70	$53.70	$70.79
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $229.09 / $229.09	Professional	TC	$229.09	$229.09	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $416.87 / $794.33	Professional		$346.74	$416.87	$794.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $53.70 / $102.33	Professional	26	$44.67	$53.70	$102.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $363.08 / $691.83	Professional	TC	$309.03	$363.08	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $933.25	Professional		$407.38	$588.84	$933.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $87.10 / $154.88	Professional	26	$56.23	$87.10	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $512.86 / $794.33	Professional	TC	$346.74	$512.86	$794.33
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $131.83 / $416.87 / $416.87	Facility	26	$131.83	$416.87	$416.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $549.54 / $3,890.45	Professional		$371.54	$549.54	$3,890.45
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $93.33 / $616.60	Professional	26	$53.70	$93.33	$616.60
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $478.63 / $3,548.13	Professional	TC	$316.23	$478.63	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $812.83	Professional		$363.08	$478.63	$812.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $81.28 / $128.82	Professional	26	$52.48	$81.28	$128.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $407.38 / $707.95	Professional	TC	$302.00	$407.38	$707.95