Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.23 / $103.32 / $141.31	Facility	26	$72.23	$103.32	$141.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.20 / $370.50 / $535.60	Professional		$306.20	$370.50	$535.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.48 / $111.15 / $141.32	Professional	26	$79.48	$111.15	$141.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $226.72 / $281.95 / $394.28	Professional	TC	$226.72	$281.95	$394.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.96 / $155.96 / $155.96	Professional		$155.96	$155.96	$155.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.03 / $41.87 / $60.13	Professional	26	$15.03	$41.87	$60.13
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $185.46 / $185.46 / $185.46	Professional	TC	$185.46	$185.46	$185.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.30 / $487.30 / $487.30	Professional		$487.30	$487.30	$487.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.86 / $393.89 / $742.00	Professional		$180.86	$393.89	$742.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.99 / $82.54 / $107.67	Professional	26	$47.99	$82.54	$107.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $146.97 / $331.55 / $643.00	Professional	TC	$146.97	$331.55	$643.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $409.92 / $530.79 / $530.79	Facility	26	$409.92	$530.79	$530.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.01 / $539.84 / $2,968.23	Professional		$257.01	$539.84	$2,968.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.51 / $74.01 / $505.24	Professional	26	$54.51	$74.01	$505.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $192.23 / $485.33 / $2,638.88	Professional	TC	$192.23	$485.33	$2,638.88
United Facility/Professional Professional Modifier Low / Median / High Price $245.46 / $423.33 / $756.12	Professional		$245.46	$423.33	$756.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.51 / $67.48 / $104.30	Professional	26	$54.51	$67.48	$104.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $183.59 / $300.27 / $537.27	Professional	TC	$183.59	$300.27	$537.27