Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $136.36 / $179.53 / $251.34	Facility	26	$136.36	$179.53	$251.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $640.98 / $1,120.43	Professional		$475.00	$640.98	$1,120.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $140.00 / $151.37 / $265.77	Professional	26	$140.00	$151.37	$265.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $491.37 / $854.66	Professional	TC	$335.00	$491.37	$854.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $727.17 / $727.17 / $727.17	Professional		$727.17	$727.17	$727.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.29 / $103.75 / $113.98	Professional	26	$79.29	$103.75	$113.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $729.19 / $729.19 / $729.19	Professional		$729.19	$729.19	$729.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.18 / $803.45 / $1,586.00	Professional		$395.18	$803.45	$1,586.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.05 / $142.79 / $202.19	Professional	26	$90.05	$142.79	$202.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $345.78 / $638.61 / $1,400.00	Professional	TC	$345.78	$638.61	$1,400.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $781.84 / $1,000.96 / $1,000.96	Facility	26	$781.84	$1,000.96	$1,000.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $579.57 / $969.12 / $5,967.97	Professional		$579.57	$969.12	$5,967.97
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $102.59 / $151.56 / $937.83	Professional	26	$102.59	$151.56	$937.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $458.37 / $836.48 / $5,400.50	Professional	TC	$458.37	$836.48	$5,400.50
United Facility/Professional Professional Modifier Low / Median / High Price $562.28 / $899.65 / $1,267.67	Professional		$562.28	$899.65	$1,267.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.59 / $130.35 / $425.33	Professional	26	$102.59	$130.35	$425.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $447.52 / $815.96 / $1,165.91	Professional	TC	$447.52	$815.96	$1,165.91