Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $169.82 / $199.53	Facility	26	$125.89	$169.82	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $776.25	Professional		$316.23	$478.63	$776.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $154.88 / $281.84	Professional	26	$102.33	$154.88	$281.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $338.84 / $537.03	Professional	TC	$208.93	$338.84	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $251.19 / $269.15	Professional		$239.88	$251.19	$269.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $107.15 / $181.97	Professional	26	$81.28	$107.15	$181.97
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $117.49 / $316.23	Professional	TC	$117.49	$117.49	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $331.13 / $457.09	Professional		$109.65	$331.13	$457.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $117.49 / $190.55	Facility	26	$117.49	$117.49	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $562.34 / $1,071.52	Professional		$288.40	$562.34	$1,071.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $123.03 / $213.80	Professional	26	$95.50	$123.03	$213.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $416.87 / $794.33	Professional	TC	$204.17	$416.87	$794.33
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 $316.23 / $457.09 / $6,165.95	Professional		$316.23	$457.09	$6,165.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $128.82 / $933.25	Professional	26	$102.33	$128.82	$933.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $436.52 / $5,495.41	Professional	TC	$223.87	$436.52	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $1,122.02	Professional		$316.23	$407.38	$1,122.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $117.49 / $181.97	Professional	26	$100.00	$117.49	$181.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $269.15 / $977.24	Professional	TC	$218.78	$269.15	$977.24