Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.33 / $72.22 / $89.83	Facility	26	$57.33	$72.22	$89.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.61 / $206.82 / $303.99	Professional		$167.61	$206.82	$303.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $58.67 / $73.84	Professional	26	$51.30	$58.67	$73.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $111.53 / $141.02 / $228.97	Professional	TC	$111.53	$141.02	$228.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.46 / $105.22 / $165.37	Professional		$84.46	$105.22	$165.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.79 / $50.86 / $69.16	Professional	26	$40.79	$50.86	$69.16
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $133.77 / $133.77 / $206.00	Professional	TC	$133.77	$133.77	$206.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $167.65 / $230.21	Professional		$56.50	$167.65	$230.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.96 / $56.96 / $91.48	Facility	26	$56.96	$56.96	$91.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.31 / $248.05 / $395.10	Professional		$144.31	$248.05	$395.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.10 / $58.58 / $98.65	Professional	26	$49.10	$58.58	$98.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.13 / $189.48 / $303.29	Professional	TC	$95.13	$189.48	$303.29
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 $172.10 / $254.31 / $1,890.30	Professional		$172.10	$254.31	$1,890.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $50.25 / $65.34 / $450.76	Professional	26	$50.25	$65.34	$450.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $117.73 / $203.00 / $1,576.92	Professional	TC	$117.73	$203.00	$1,576.92
United Facility/Professional Professional Modifier Low / Median / High Price $173.31 / $213.15 / $382.28	Professional		$173.31	$213.15	$382.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.25 / $63.79 / $94.99	Professional	26	$50.25	$63.79	$94.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.73 / $148.86 / $265.92	Professional	TC	$117.73	$148.86	$265.92