Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $154.97 / $226.00 / $269.16	Facility	26	$154.97	$226.00	$269.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.23 / $525.00 / $800.43	Professional		$457.23	$525.00	$800.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $140.00 / $177.46 / $269.16	Professional	26	$140.00	$177.46	$269.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $305.75 / $358.16 / $610.96	Professional	TC	$305.75	$358.16	$610.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $232.41 / $352.02 / $499.54	Professional		$232.41	$352.02	$499.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $80.53 / $82.96 / $115.77	Professional	26	$80.53	$82.96	$115.77
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $123.40 / $123.40 / $246.79	Professional	TC	$123.40	$123.40	$246.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $593.00 / $593.00	Professional		$593.00	$593.00	$593.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.14 / $575.00 / $1,641.00	Professional		$269.14	$575.00	$1,641.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.10 / $161.47 / $213.58	Professional	26	$95.10	$161.47	$213.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.38 / $402.50 / $1,429.00	Professional	TC	$199.38	$402.50	$1,429.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $794.00 / $1,016.96 / $1,016.96	Facility	26	$794.00	$1,016.96	$1,016.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $386.31 / $892.48 / $6,199.75	Professional		$386.31	$892.48	$6,199.75
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $116.22 / $167.45 / $931.20	Professional	26	$116.22	$167.45	$931.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $262.45 / $776.26 / $5,551.18	Professional	TC	$262.45	$776.26	$5,551.18
United Facility/Professional Professional Modifier Low / Median / High Price $373.53 / $694.48 / $1,191.39	Professional		$373.53	$694.48	$1,191.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $116.22 / $139.15 / $222.64	Professional	26	$116.22	$139.15	$222.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $256.24 / $424.81 / $971.83	Professional	TC	$256.24	$424.81	$971.83