Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.14 / $142.08 / $463.00	Professional		$121.14	$142.08	$463.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.89 / $77.23 / $156.80	Professional	26	$65.89	$77.23	$156.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.07 / $61.75 / $95.34	Professional	TC	$52.07	$61.75	$95.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.18 / $157.72 / $260.06	Professional		$126.18	$157.72	$260.06
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $94.73 / $94.73 / $94.73	Professional	26	$94.73	$94.73	$94.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.09 / $118.79 / $148.49	Professional		$89.09	$118.79	$148.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.09 / $66.79 / $83.49	Professional	26	$50.09	$66.79	$83.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.00 / $52.00 / $65.00	Professional	TC	$39.00	$52.00	$65.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.73 / $88.73 / $88.73	Facility	26	$88.73	$88.73	$88.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $168.29 / $300.10	Professional		$92.55	$168.29	$300.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.30 / $107.55 / $176.49	Professional	26	$76.30	$107.55	$176.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $55.13 / $83.28 / $143.51	Professional	TC	$55.13	$83.28	$143.51
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $180.18 / $351.19 / $351.19	Facility	26	$180.18	$351.19	$351.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.72 / $164.40 / $874.03	Professional		$127.72	$164.40	$874.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $71.30 / $91.20 / $497.06	Professional	26	$71.30	$91.20	$497.06
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $56.42 / $73.02 / $376.97	Professional	TC	$56.42	$73.02	$376.97
United Facility/Professional Professional Modifier Low / Median / High Price $125.10 / $148.32 / $288.39	Professional		$125.10	$148.32	$288.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.29 / $82.80 / $165.19	Professional	26	$71.29	$82.80	$165.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.42 / $67.34 / $131.76	Professional	TC	$56.42	$67.34	$131.76