Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.73 / $162.88 / $162.88	Facility	26	$84.73	$162.88	$162.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.49 / $402.57 / $755.46	Professional		$332.49	$402.57	$755.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.79 / $85.14 / $285.00	Professional	26	$71.79	$85.14	$285.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $265.87 / $318.42 / $600.07	Professional	TC	$265.87	$318.42	$600.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $588.08 / $588.08 / $840.12	Professional		$588.08	$588.08	$840.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $80.23 / $112.34 / $112.34	Professional	26	$80.23	$112.34	$112.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.23 / $364.30 / $455.38	Professional		$273.23	$364.30	$455.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.67 / $68.89 / $86.11	Professional	26	$51.67	$68.89	$86.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $221.56 / $295.42 / $369.27	Professional	TC	$221.56	$295.42	$369.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.38 / $96.38 / $96.38	Facility	26	$96.38	$96.38	$96.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.25 / $475.65 / $893.66	Professional		$293.25	$475.65	$893.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.86 / $111.51 / $190.18	Professional	26	$78.86	$111.51	$190.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $215.91 / $380.21 / $697.32	Professional	TC	$215.91	$380.21	$697.32
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $194.95 / $379.97 / $379.97	Facility	26	$194.95	$379.97	$379.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $279.64 / $418.25 / $2,747.80	Professional		$279.64	$418.25	$2,747.80
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $77.13 / $97.11 / $774.69	Professional	26	$77.13	$97.11	$774.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $201.02 / $331.26 / $2,208.88	Professional	TC	$201.02	$331.26	$2,208.88
United Facility/Professional Professional Modifier Low / Median / High Price $271.66 / $406.30 / $761.14	Professional		$271.66	$406.30	$761.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.00 / $89.64 / $164.78	Professional	26	$77.00	$89.64	$164.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $191.08 / $326.16 / $612.71	Professional	TC	$191.08	$326.16	$612.71