Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.01 / $177.86 / $211.62	Facility	26	$108.01	$177.86	$211.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $494.18 / $858.56	Professional		$475.00	$494.18	$858.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.15 / $139.65 / $211.63	Professional	26	$111.15	$139.65	$211.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $424.38 / $646.94	Professional	TC	$335.00	$424.38	$646.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $260.63 / $260.63 / $260.63	Professional		$260.63	$260.63	$260.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.94 / $62.94 / $90.47	Professional	26	$62.94	$62.94	$90.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.00 / $647.00 / $647.00	Professional		$647.00	$647.00	$647.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.74 / $631.63 / $1,409.00	Professional		$289.74	$631.63	$1,409.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.67 / $124.71 / $160.86	Professional	26	$71.67	$124.71	$160.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $241.26 / $502.59 / $1,260.00	Professional	TC	$241.26	$502.59	$1,260.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $617.36 / $796.16 / $796.16	Facility	26	$617.36	$796.16	$796.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $408.44 / $900.57 / $5,311.18	Professional		$408.44	$900.57	$5,311.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $81.79 / $111.43 / $808.00	Professional	26	$81.79	$111.43	$808.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $310.88 / $818.78 / $4,858.99	Professional	TC	$310.88	$818.78	$4,858.99
United Facility/Professional Professional Modifier Low / Median / High Price $390.08 / $633.44 / $1,227.58	Professional		$390.08	$633.44	$1,227.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.79 / $100.28 / $159.27	Professional	26	$81.79	$100.28	$159.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $303.51 / $573.86 / $972.68	Professional	TC	$303.51	$573.86	$972.68