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 $194.98 / $371.54 / $645.65	Professional		$194.98	$371.54	$645.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $114.82 / $204.17	Professional	26	$67.61	$114.82	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $257.04 / $457.09	Professional	TC	$125.89	$257.04	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $141.25 / $177.83	Professional		$70.79	$141.25	$177.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $56.23 / $109.65	Professional	26	$52.48	$56.23	$109.65
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $72.44 / $144.54	Professional	TC	$45.71	$72.44	$144.54
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 $158.49 / $346.74 / $724.44	Professional		$158.49	$346.74	$724.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $97.72 / $158.49	Professional	26	$61.66	$97.72	$158.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $229.09 / $562.34	Professional	TC	$112.20	$229.09	$562.34
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 / $524.81 / $3,162.28	Professional		$213.80	$524.81	$3,162.28
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $100.00 / $602.56	Professional	26	$72.44	$100.00	$602.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $416.87 / $2,754.23	Professional	TC	$141.25	$416.87	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $354.81 / $676.08	Professional		$213.80	$354.81	$676.08
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 / $524.81	Professional	TC	$141.25	$218.78	$524.81