Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $142.36 / $226.00 / $269.16	Facility	26	$142.36	$226.00	$269.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $452.58 / $494.18 / $798.86	Professional		$452.58	$494.18	$798.86
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 $304.83 / $357.10 / $552.05	Professional	TC	$304.83	$357.10	$552.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $231.94 / $498.53 / $498.53	Professional		$231.94	$498.53	$498.53
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 $246.03 / $246.03 / $246.03	Professional	TC	$246.03	$246.03	$246.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.00 / $587.00 / $587.00	Professional		$587.00	$587.00	$587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.61 / $575.00 / $1,624.00	Professional		$268.61	$575.00	$1,624.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.10 / $158.60 / $205.30	Professional	26	$95.10	$158.60	$205.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $198.51 / $402.50 / $1,429.00	Professional	TC	$198.51	$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 $385.57 / $882.80 / $6,146.58	Professional		$385.57	$882.80	$6,146.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $106.89 / $162.58 / $921.60	Professional	26	$106.89	$162.58	$921.60
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $261.72 / $775.91 / $5,551.18	Professional	TC	$261.72	$775.91	$5,551.18
United Facility/Professional Professional Modifier Low / Median / High Price $368.24 / $633.78 / $1,172.33	Professional		$368.24	$633.78	$1,172.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $106.89 / $129.02 / $222.64	Professional	26	$106.89	$129.02	$222.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $255.52 / $423.12 / $918.48	Professional	TC	$255.52	$423.12	$918.48