Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.48 / $100.90 / $107.58	Facility	26	$66.48	$100.90	$107.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $243.31 / $340.04	Professional		$171.00	$243.31	$340.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $77.34 / $103.19	Professional	26	$51.30	$77.34	$103.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $162.34 / $277.86	Professional	TC	$119.70	$162.34	$277.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.53 / $223.53 / $223.53	Professional		$223.53	$223.53	$223.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.77 / $72.63 / $95.80	Professional	26	$56.77	$72.63	$95.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $225.05 / $309.02	Professional		$77.00	$225.05	$309.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.41 / $66.41 / $106.55	Facility	26	$66.41	$66.41	$106.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.19 / $299.89 / $457.88	Professional		$191.19	$299.89	$457.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.22 / $71.23 / $120.52	Professional	26	$59.22	$71.23	$120.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.07 / $229.89 / $355.78	Professional	TC	$123.07	$229.89	$355.78
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $553.91 / $714.16 / $714.16	Facility	26	$553.91	$714.16	$714.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $217.67 / $310.95 / $2,036.01	Professional		$217.67	$310.95	$2,036.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.97 / $83.37 / $484.69	Professional	26	$60.97	$83.37	$484.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $143.80 / $247.93 / $2,005.00	Professional	TC	$143.80	$247.93	$2,005.00
United Facility/Professional Professional Modifier Low / Median / High Price $216.33 / $273.52 / $477.18	Professional		$216.33	$273.52	$477.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.94 / $83.37 / $125.06	Professional	26	$58.94	$83.37	$125.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $143.80 / $182.64 / $330.04	Professional	TC	$143.80	$182.64	$330.04