Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.34 / $72.54 / $97.43	Facility	26	$60.34	$72.54	$97.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.30 / $200.37 / $247.93	Professional		$131.30	$200.37	$247.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.14 / $58.00 / $88.07	Professional	26	$44.14	$58.00	$88.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.52 / $127.82 / $217.98	Professional	TC	$84.52	$127.82	$217.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.80 / $219.23 / $219.23	Professional		$94.80	$219.23	$219.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.88 / $34.89 / $50.14	Professional	26	$34.88	$34.89	$50.14
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $97.37 / $97.37 / $97.37	Professional	TC	$97.37	$97.37	$97.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.32 / $307.32 / $307.32	Professional		$307.32	$307.32	$307.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.17 / $232.08 / $471.00	Professional		$109.17	$232.08	$471.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.64 / $67.50 / $131.00	Professional	26	$41.64	$67.50	$131.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.25 / $151.43 / $340.00	Professional	TC	$76.25	$151.43	$340.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $341.52 / $442.24 / $442.24	Facility	26	$341.52	$442.24	$442.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $163.53 / $272.45 / $1,609.32	Professional		$163.53	$272.45	$1,609.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.38 / $71.45 / $379.76	Professional	26	$52.38	$71.45	$379.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $109.41 / $219.96 / $1,331.00	Professional	TC	$109.41	$219.96	$1,331.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.07 / $252.91 / $346.00	Professional		$158.07	$252.91	$346.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.25 / $62.78 / $99.23	Professional	26	$51.25	$62.78	$99.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $106.82 / $160.22 / $262.88	Professional	TC	$106.82	$160.22	$262.88