Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $107.15 / $128.82	Facility	26	$89.13	$107.15	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $316.23 / $501.19	Professional		$194.98	$316.23	$501.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $112.20 / $199.53	Professional	26	$64.57	$112.20	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $199.53 / $371.54	Professional	TC	$123.03	$199.53	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $147.91 / $295.12	Professional		$72.44	$147.91	$295.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $69.18 / $114.82	Professional	26	$52.48	$69.18	$114.82
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $91.20 / $177.83	Professional	TC	$69.18	$91.20	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $194.98 / $269.15	Professional		$70.79	$194.98	$269.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $74.13 / $117.49	Facility	26	$74.13	$74.13	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $380.19 / $588.84	Professional		$177.83	$380.19	$588.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $77.62 / $144.54	Professional	26	$61.66	$77.62	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $288.40 / $501.19	Professional	TC	$114.82	$288.40	$501.19
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 $186.21 / $288.40 / $3,162.28	Professional		$186.21	$288.40	$3,162.28
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $83.18 / $602.56	Professional	26	$64.57	$83.18	$602.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $263.03 / $2,754.23	Professional	TC	$125.89	$263.03	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $660.69	Professional		$186.21	$239.88	$660.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $75.86 / $117.49	Professional	26	$64.57	$75.86	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $151.36 / $549.54	Professional	TC	$123.03	$151.36	$549.54