Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.10 / $101.15 / $136.34	Facility	26	$83.10	$101.15	$136.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.39 / $281.16 / $314.01	Professional		$187.39	$281.16	$314.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.04 / $84.58 / $134.22	Professional	26	$61.04	$84.58	$134.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $92.15 / $184.29 / $255.09	Professional	TC	$92.15	$184.29	$255.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.88 / $139.32 / $309.62	Professional		$133.88	$139.32	$309.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.27 / $48.34 / $69.39	Professional	26	$48.27	$48.34	$69.39
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $42.81 / $85.62 / $139.13	Professional	TC	$42.81	$85.62	$139.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.00 / $347.00 / $347.00	Professional		$347.00	$347.00	$347.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.71 / $297.23 / $492.00	Professional		$154.71	$297.23	$492.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.19 / $88.53 / $123.10	Professional	26	$55.19	$88.53	$123.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $110.36 / $197.59 / $378.00	Professional	TC	$110.36	$197.59	$378.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $473.36 / $612.88 / $612.88	Facility	26	$473.36	$612.88	$612.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $212.94 / $333.55 / $1,680.90	Professional		$212.94	$333.55	$1,680.90
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $62.78 / $96.50 / $414.94	Professional	26	$62.78	$96.50	$414.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $138.25 / $241.11 / $1,425.00	Professional	TC	$138.25	$241.11	$1,425.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.71 / $303.89 / $396.87	Professional		$205.71	$303.89	$396.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.78 / $77.81 / $122.33	Professional	26	$62.78	$77.81	$122.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $134.97 / $201.17 / $286.82	Professional	TC	$134.97	$201.17	$286.82