Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.26 / $80.06 / $99.50	Facility	26	$63.26	$80.06	$99.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $237.96 / $347.48	Professional		$171.00	$237.96	$347.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $62.45 / $80.06	Professional	26	$51.30	$62.45	$80.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $161.30 / $288.12	Professional	TC	$119.70	$161.30	$288.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $198.43 / $198.43 / $198.43	Professional		$198.43	$198.43	$198.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $74.22 / $74.22 / $107.76	Professional	26	$74.22	$74.22	$107.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.11 / $198.45 / $272.50	Professional		$62.11	$198.45	$272.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.43 / $63.43 / $101.60	Facility	26	$63.43	$63.43	$101.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.21 / $304.30 / $469.64	Professional		$169.21	$304.30	$469.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $64.59 / $108.79	Professional	26	$52.78	$64.59	$108.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $116.43 / $234.31 / $379.02	Professional	TC	$116.43	$234.31	$379.02
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 $201.82 / $304.23 / $2,319.03	Professional		$201.82	$304.23	$2,319.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $56.37 / $74.31 / $543.21	Professional	26	$56.37	$74.31	$543.21
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $143.81 / $247.95 / $1,973.17	Professional	TC	$143.81	$247.95	$1,973.17
United Facility/Professional Professional Modifier Low / Median / High Price $205.03 / $259.24 / $463.09	Professional		$205.03	$259.24	$463.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.37 / $69.09 / $103.61	Professional	26	$56.37	$69.09	$103.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $140.51 / $181.83 / $324.81	Professional	TC	$140.51	$181.83	$324.81