Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $204.17 / $245.47 / $537.03	Facility	26	$204.17	$245.47	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $954.99	Professional		$331.13	$478.63	$954.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $169.82 / $316.23	Professional	26	$104.71	$169.82	$316.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $338.84 / $645.65	Professional	TC	$223.87	$338.84	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $251.19 / $354.81	Professional		$234.42	$251.19	$354.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $107.15 / $190.55	Professional	26	$81.28	$107.15	$190.55
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $154.88 / $251.19	Professional	TC	$151.36	$154.88	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $562.34 / $1,230.27	Professional		$269.15	$562.34	$1,230.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $158.49 / $257.04	Professional	26	$95.50	$158.49	$257.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $389.05 / $891.25	Professional	TC	$199.53	$389.05	$891.25
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $794.33 / $1,023.29 / $1,023.29	Facility	26	$794.33	$1,023.29	$1,023.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $870.96 / $6,165.95	Professional		$371.54	$870.96	$6,165.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $154.88 / $933.25	Professional	26	$114.82	$154.88	$933.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $630.96 / $5,495.41	Professional	TC	$251.19	$630.96	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $602.56 / $1,148.15	Professional		$363.08	$602.56	$1,148.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $128.82 / $218.78	Professional	26	$112.20	$128.82	$218.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $398.11 / $954.99	Professional	TC	$251.19	$398.11	$954.99