Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $165.96 / $676.08	Facility	26	$114.82	$165.96	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $575.44 / $1,000.00	Professional		$426.58	$575.44	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $141.25 / $263.03	Professional	26	$102.33	$141.25	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $436.52 / $676.08	Professional	TC	$302.00	$436.52	$676.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $81.28 / $128.82	Professional	26	$81.28	$81.28	$128.82
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $537.03 / $537.03 / $537.03	Professional	TC	$537.03	$537.03	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $501.19 / $676.08	Professional		$107.15	$501.19	$676.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $104.71 / $165.96	Facility	26	$104.71	$104.71	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $1,096.48	Professional		$436.52	$676.08	$1,096.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $109.65 / $186.21	Professional	26	$89.13	$109.65	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $575.44 / $977.24	Professional	TC	$346.74	$575.44	$977.24
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $776.25 / $1,000.00 / $1,000.00	Facility	26	$776.25	$1,000.00	$1,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $6,025.60	Professional		$478.63	$660.69	$6,025.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $123.03 / $933.25	Professional	26	$91.20	$123.03	$933.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $389.05 / $676.08 / $5,370.32	Professional	TC	$389.05	$676.08	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $588.84 / $1,174.90	Professional		$478.63	$588.84	$1,174.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $114.82 / $165.96	Professional	26	$91.20	$114.82	$165.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $380.19 / $467.74 / $1,023.29	Professional	TC	$380.19	$467.74	$1,023.29