Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.52 / $166.35 / $198.15	Facility	26	$118.52	$166.35	$198.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $475.00 / $561.29	Professional		$250.00	$475.00	$561.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $136.90 / $181.06	Professional	26	$62.50	$136.90	$181.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $335.00 / $380.23	Professional	TC	$187.50	$335.00	$380.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $235.67 / $235.67 / $235.67	Professional		$235.67	$235.67	$235.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $81.13 / $90.16 / $136.90	Professional	26	$81.13	$90.16	$136.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.85 / $333.20 / $457.53	Professional		$108.85	$333.20	$457.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.09 / $118.09 / $189.26	Facility	26	$118.09	$118.09	$189.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.39 / $523.13 / $978.98	Professional		$277.39	$523.13	$978.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.28 / $117.43 / $185.14	Professional	26	$96.28	$117.43	$185.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $180.05 / $364.24 / $728.04	Professional	TC	$180.05	$364.24	$728.04
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 $325.60 / $467.09 / $6,195.24	Professional		$325.60	$467.09	$6,195.24
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $102.04 / $129.02 / $931.20	Professional	26	$102.04	$129.02	$931.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $223.56 / $440.33 / $5,551.18	Professional	TC	$223.56	$440.33	$5,551.18
United Facility/Professional Professional Modifier Low / Median / High Price $318.11 / $407.75 / $981.23	Professional		$318.11	$407.75	$981.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.83 / $117.29 / $219.10	Professional	26	$93.83	$117.29	$219.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.41 / $269.99 / $852.30	Professional	TC	$218.41	$269.99	$852.30