Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.39 / $115.91 / $191.17	Facility	26	$80.39	$115.91	$191.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $300.00 / $385.88	Professional		$171.00	$300.00	$385.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $88.48 / $111.38	Professional	26	$51.30	$88.48	$111.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $210.15 / $310.24	Professional	TC	$119.70	$210.15	$310.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $279.86 / $279.86 / $279.86	Professional		$279.86	$279.86	$279.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.49 / $76.87 / $103.77	Professional	26	$61.49	$76.87	$103.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.75 / $274.05 / $376.31	Professional		$84.75	$274.05	$376.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.90 / $80.90 / $128.88	Facility	26	$80.90	$80.90	$128.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.13 / $405.00 / $695.45	Professional		$236.13	$405.00	$695.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.02 / $82.12 / $135.41	Professional	26	$72.02	$82.12	$135.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $163.11 / $300.29 / $590.91	Professional	TC	$163.11	$300.29	$590.91
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $600.40 / $773.84 / $773.84	Facility	26	$600.40	$773.84	$773.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $268.72 / $386.76 / $3,234.12	Professional		$268.72	$386.76	$3,234.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $71.50 / $94.52 / $559.72	Professional	26	$71.50	$94.52	$559.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $182.00 / $362.84 / $2,749.60	Professional	TC	$182.00	$362.84	$2,749.60
United Facility/Professional Professional Modifier Low / Median / High Price $256.14 / $321.82 / $597.77	Professional		$256.14	$321.82	$597.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.50 / $89.50 / $134.25	Professional	26	$71.50	$89.50	$134.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $180.07 / $243.62 / $472.41	Professional	TC	$180.07	$243.62	$472.41