Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.08 / $85.12 / $115.63	Facility	26	$71.08	$85.12	$115.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.97 / $257.20 / $316.16	Professional		$168.97	$257.20	$316.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.67 / $72.22 / $106.58	Professional	26	$53.67	$72.22	$106.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.49 / $172.07 / $259.17	Professional	TC	$100.49	$172.07	$259.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.94 / $121.26 / $280.39	Professional		$90.94	$121.26	$280.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.79 / $40.84 / $58.65	Professional	26	$40.79	$40.84	$58.65
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $40.22 / $65.38 / $80.45	Professional	TC	$40.22	$65.38	$80.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.67 / $371.67 / $371.67	Professional		$371.67	$371.67	$371.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.12 / $290.50 / $541.00	Professional		$140.12	$290.50	$541.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.16 / $79.50 / $135.00	Professional	26	$48.16	$79.50	$135.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $103.04 / $196.53 / $406.00	Professional	TC	$103.04	$196.53	$406.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $400.16 / $518.00 / $518.00	Facility	26	$400.16	$518.00	$518.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $206.06 / $336.14 / $1,890.30	Professional		$206.06	$336.14	$1,890.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $55.95 / $87.14 / $450.76	Professional	26	$55.95	$87.14	$450.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $138.63 / $268.47 / $1,576.92	Professional	TC	$138.63	$268.47	$1,576.92
United Facility/Professional Professional Modifier Low / Median / High Price $199.21 / $298.82 / $426.26	Professional		$199.21	$298.82	$426.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.95 / $70.27 / $108.60	Professional	26	$55.95	$70.27	$108.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $135.33 / $216.53 / $347.07	Professional	TC	$135.33	$216.53	$347.07