Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $158.49 / $316.23	Facility	26	$112.20	$158.49	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $426.58 / $660.69	Professional		$199.53	$426.58	$660.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $123.03 / $208.93	Professional	26	$67.61	$123.03	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $281.84 / $478.63	Professional	TC	$125.89	$281.84	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $144.54 / $204.17	Professional		$134.90	$144.54	$204.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $63.10 / $104.71	Professional	26	$52.48	$63.10	$104.71
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $93.33 / $141.25	Professional	TC	$79.43	$93.33	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $346.74 / $724.44	Professional		$162.18	$346.74	$724.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $95.50 / $186.21	Professional	26	$61.66	$95.50	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $229.09 / $549.54	Professional	TC	$112.20	$229.09	$549.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $512.86 / $660.69 / $660.69	Facility	26	$512.86	$660.69	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $501.19 / $2,884.03	Professional		$213.80	$501.19	$2,884.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $100.00 / $562.34	Professional	26	$72.44	$100.00	$562.34
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $398.11 / $2,511.89	Professional	TC	$141.25	$398.11	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $354.81 / $616.60	Professional		$213.80	$354.81	$616.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $83.18 / $141.25	Professional	26	$72.44	$83.18	$141.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $218.78 / $501.19	Professional	TC	$141.25	$218.78	$501.19