Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.04 / $107.73 / $107.73	Facility	26	$56.04	$107.73	$107.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.02 / $352.35 / $713.20	Professional		$286.02	$352.35	$713.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.69 / $56.04 / $205.73	Professional	26	$49.69	$56.04	$205.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $239.26 / $301.39 / $576.02	Professional	TC	$239.26	$301.39	$576.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $311.98 / $367.03 / $513.84	Professional		$311.98	$367.03	$513.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.42 / $68.34 / $74.30	Professional	26	$50.42	$68.34	$74.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.74 / $318.50 / $413.76	Professional		$266.74	$318.50	$413.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.17 / $45.56 / $59.00	Professional	26	$34.17	$45.56	$59.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $204.70 / $272.94 / $341.17	Professional	TC	$204.70	$272.94	$341.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.88 / $63.88 / $63.88	Facility	26	$63.88	$63.88	$63.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.48 / $410.07 / $800.61	Professional		$229.48	$410.07	$800.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.81 / $73.23 / $126.52	Professional	26	$49.81	$73.23	$126.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $171.81 / $344.88 / $672.34	Professional	TC	$171.81	$344.88	$672.34
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $128.97 / $251.32 / $251.32	Facility	26	$128.97	$251.32	$251.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $212.80 / $358.80 / $2,452.27	Professional		$212.80	$358.80	$2,452.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $49.17 / $62.33 / $354.09	Professional	26	$49.17	$62.33	$354.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $159.97 / $303.13 / $2,098.17	Professional	TC	$159.97	$303.13	$2,098.17
United Facility/Professional Professional Modifier Low / Median / High Price $203.32 / $346.50 / $681.65	Professional		$203.32	$346.50	$681.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.65 / $57.96 / $116.62	Professional	26	$48.65	$57.96	$116.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $152.66 / $291.37 / $573.11	Professional	TC	$152.66	$291.37	$573.11