Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.26 / $149.15 / $173.56	Facility	26	$108.26	$149.15	$173.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.65 / $475.00 / $817.34	Professional		$465.65	$475.00	$817.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $114.48 / $173.56	Professional	26	$97.72	$114.48	$173.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $370.33 / $643.79	Professional	TC	$335.00	$370.33	$643.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $124.21 / $237.94	Professional		$124.21	$124.21	$237.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.70 / $67.43 / $74.31	Professional	26	$51.70	$67.43	$74.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $642.00 / $642.00 / $642.00	Professional		$642.00	$642.00	$642.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.36 / $601.21 / $1,409.00	Professional		$276.36	$601.21	$1,409.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.70 / $106.69 / $160.86	Professional	26	$61.70	$106.69	$160.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.80 / $500.58 / $1,260.00	Professional	TC	$239.80	$500.58	$1,260.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $507.76 / $656.72 / $656.72	Facility	26	$507.76	$656.72	$656.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.07 / $900.57 / $5,311.18	Professional		$389.07	$900.57	$5,311.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $76.79 / $106.71 / $808.00	Professional	26	$76.79	$106.71	$808.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $308.67 / $818.78 / $4,858.99	Professional	TC	$308.67	$818.78	$4,858.99
United Facility/Professional Professional Modifier Low / Median / High Price $377.50 / $669.22 / $1,179.08	Professional		$377.50	$669.22	$1,179.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.28 / $91.85 / $148.96	Professional	26	$75.28	$91.85	$148.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $289.02 / $423.23 / $908.10	Professional	TC	$289.02	$423.23	$908.10