Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $194.98 / $239.88 / $524.81	Facility	26	$194.98	$239.88	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $1,122.02	Professional		$426.58	$588.84	$1,122.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $158.49 / $269.15	Professional	26	$107.15	$158.49	$269.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $478.63 / $870.96	Professional	TC	$338.84	$478.63	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $724.44	Professional		$346.74	$346.74	$724.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $104.71 / $138.04	Professional	26	$79.43	$104.71	$138.04
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $416.87 / $416.87 / $416.87	Professional	TC	$416.87	$416.87	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $812.83 / $1,513.56	Professional		$398.11	$812.83	$1,513.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $141.25 / $257.04	Professional	26	$91.20	$141.25	$257.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $630.96 / $1,230.27	Professional	TC	$346.74	$630.96	$1,230.27
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $776.25 / $776.25 / $1,000.00	Facility	26	$776.25	$776.25	$1,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $954.99 / $6,025.60	Professional		$549.54	$954.99	$6,025.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $147.91 / $933.25	Professional	26	$102.33	$147.91	$933.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $436.52 / $831.76 / $5,370.32	Professional	TC	$436.52	$831.76	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $851.14 / $1,230.27	Professional		$537.03	$851.14	$1,230.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $125.89 / $208.93	Professional	26	$102.33	$125.89	$208.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $426.58 / $676.08 / $1,071.52	Professional	TC	$426.58	$676.08	$1,071.52