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 $130.65 / $199.38 / $247.93	Professional		$130.65	$199.38	$247.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.38 / $58.00 / $88.07	Professional	26	$44.38	$58.00	$88.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.87 / $117.27 / $177.61	Professional	TC	$83.87	$117.27	$177.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.33 / $94.33 / $94.33	Professional		$94.33	$94.33	$94.33
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 $96.62 / $96.62 / $96.62	Professional	TC	$96.62	$96.62	$96.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.23 / $312.23 / $312.23	Professional		$312.23	$312.23	$312.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.37 / $230.96 / $436.00	Professional		$108.37	$230.96	$436.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.14 / $67.50 / $96.00	Professional	26	$40.14	$67.50	$96.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.67 / $150.40 / $340.00	Professional	TC	$75.67	$150.40	$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 $162.80 / $271.64 / $1,609.32	Professional		$162.80	$271.64	$1,609.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.37 / $71.45 / $379.76	Professional	26	$52.37	$71.45	$379.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $108.68 / $219.27 / $1,345.00	Professional	TC	$108.68	$219.27	$1,345.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.35 / $241.08 / $338.39	Professional		$157.35	$241.08	$338.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.25 / $60.81 / $99.23	Professional	26	$51.25	$60.81	$99.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $106.10 / $159.15 / $262.88	Professional	TC	$106.10	$159.15	$262.88