Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.25 / $130.68 / $174.34	Facility	26	$96.25	$130.68	$174.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.60 / $370.50 / $475.78	Professional		$271.60	$370.50	$475.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.25 / $115.00 / $174.34	Professional	26	$96.25	$115.00	$174.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.42 / $259.05 / $353.33	Professional	TC	$173.42	$259.05	$353.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.96 / $144.62 / $321.35	Professional		$138.96	$144.62	$321.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.66 / $52.07 / $74.66	Professional	26	$18.66	$52.07	$74.66
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $60.10 / $70.70 / $141.41	Professional	TC	$60.10	$70.70	$141.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.35 / $456.35 / $456.35	Professional		$456.35	$456.35	$456.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.24 / $349.82 / $846.00	Professional		$160.24	$349.82	$846.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.70 / $102.18 / $133.34	Professional	26	$61.70	$102.18	$133.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $113.20 / $229.63 / $714.00	Professional	TC	$113.20	$229.63	$714.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $510.16 / $656.72 / $656.72	Facility	26	$510.16	$656.72	$656.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $225.23 / $520.46 / $3,174.82	Professional		$225.23	$520.46	$3,174.82
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $72.47 / $106.61 / $609.25	Professional	26	$72.47	$106.61	$609.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $147.86 / $447.99 / $2,772.01	Professional	TC	$147.86	$447.99	$2,772.01
United Facility/Professional Professional Modifier Low / Median / High Price $220.51 / $352.82 / $669.75	Professional		$220.51	$352.82	$669.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.47 / $86.87 / $144.54	Professional	26	$72.47	$86.87	$144.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.36 / $243.75 / $576.86	Professional	TC	$144.36	$243.75	$576.86