Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $158.49 / $562.34	Facility	26	$112.20	$158.49	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $812.83	Professional		$331.13	$478.63	$812.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $141.25 / $257.04	Professional	26	$93.33	$141.25	$257.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $338.84 / $588.84	Professional	TC	$234.42	$338.84	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $97.72 / $162.18	Professional	26	$75.86	$97.72	$162.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $346.74 / $346.74	Professional	TC	$346.74	$346.74	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $354.81 / $478.63	Professional		$102.33	$354.81	$478.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $97.72 / $158.49	Facility	26	$97.72	$97.72	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $575.44 / $1,047.13	Professional		$331.13	$575.44	$1,047.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $104.71 / $177.83	Professional	26	$85.11	$104.71	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $478.63 / $851.14	Professional	TC	$234.42	$478.63	$851.14
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $741.31 / $954.99 / $954.99	Facility	26	$741.31	$954.99	$954.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $6,025.60	Professional		$338.84	$501.19	$6,025.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $117.49 / $891.25	Professional	26	$87.10	$117.49	$891.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $489.78 / $5,495.41	Professional	TC	$251.19	$489.78	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $1,071.52	Professional		$338.84	$436.52	$1,071.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $109.65 / $154.88	Professional	26	$87.10	$109.65	$154.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $316.23 / $954.99	Professional	TC	$245.47	$316.23	$954.99