Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.10 / $90.95 / $135.79	Facility	26	$83.10	$90.95	$135.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.12 / $303.10 / $389.06	Professional		$199.12	$303.10	$389.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.79 / $72.90 / $109.72	Professional	26	$58.79	$72.90	$109.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $140.33 / $212.14 / $288.12	Professional	TC	$140.33	$212.14	$288.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $328.95 / $328.95 / $328.95	Professional		$328.95	$328.95	$328.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.74 / $46.91 / $67.80	Professional	26	$43.74	$46.91	$67.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $463.23 / $463.23 / $463.23	Professional		$463.23	$463.23	$463.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.49 / $354.29 / $622.00	Professional		$164.49	$354.29	$622.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.25 / $85.98 / $123.00	Professional	26	$52.25	$85.98	$123.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $127.47 / $247.62 / $508.00	Professional	TC	$127.47	$247.62	$508.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $429.60 / $553.04 / $553.04	Facility	26	$429.60	$553.04	$553.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $412.28 / $2,319.03	Professional		$243.61	$412.28	$2,319.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $62.78 / $96.02 / $543.21	Professional	26	$62.78	$96.02	$543.21
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $169.30 / $337.56 / $1,973.17	Professional	TC	$169.30	$337.56	$1,973.17
United Facility/Professional Professional Modifier Low / Median / High Price $235.67 / $356.52 / $528.33	Professional		$235.67	$356.52	$528.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.78 / $81.05 / $119.63	Professional	26	$62.78	$81.05	$119.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.30 / $247.95 / $393.48	Professional	TC	$165.30	$247.95	$393.48