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 $328.32 / $412.06 / $953.53	Professional		$328.32	$412.06	$953.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.69 / $56.46 / $232.00	Professional	26	$49.69	$56.46	$232.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.79 / $360.42 / $686.43	Professional	TC	$281.79	$360.42	$686.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $384.51 / $448.59 / $704.93	Professional		$384.51	$448.59	$704.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $68.34 / $87.57 / $109.38	Professional	26	$68.34	$87.57	$109.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.57 / $370.82 / $476.35	Professional		$310.57	$370.82	$476.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.17 / $45.56 / $59.02	Professional	26	$34.17	$45.56	$59.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $243.95 / $325.26 / $406.58	Professional	TC	$243.95	$325.26	$406.58
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 $232.34 / $468.83 / $921.98	Professional		$232.34	$468.83	$921.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.81 / $73.41 / $126.52	Professional	26	$49.81	$73.41	$126.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $166.73 / $409.38 / $807.84	Professional	TC	$166.73	$409.38	$807.84
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 $218.28 / $415.77 / $2,879.21	Professional		$218.28	$415.77	$2,879.21
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $49.17 / $62.58 / $356.25	Professional	26	$49.17	$62.58	$356.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $170.50 / $359.72 / $2,522.94	Professional	TC	$170.50	$359.72	$2,522.94
United Facility/Professional Professional Modifier Low / Median / High Price $215.46 / $399.16 / $780.95	Professional		$215.46	$399.16	$780.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.65 / $57.60 / $109.20	Professional	26	$48.65	$57.60	$109.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $162.63 / $342.38 / $700.19	Professional	TC	$162.63	$342.38	$700.19