Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $165.96 / $194.98	Facility	26	$125.89	$165.96	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $794.33	Professional		$309.03	$478.63	$794.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $151.36 / $275.42	Professional	26	$89.13	$151.36	$275.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $338.84 / $549.54	Professional	TC	$204.17	$338.84	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $489.78	Professional		$239.88	$239.88	$489.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $107.15 / $181.97	Professional	26	$83.18	$107.15	$181.97
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $162.18 / $316.23	Professional	TC	$158.49	$162.18	$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 $107.15 / $107.15 / $173.78	Facility	26	$107.15	$107.15	$173.78
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 $93.33 / $114.82 / $199.53	Professional	26	$93.33	$114.82	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $457.09 / $831.76	Professional	TC	$199.53	$457.09	$831.76
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 / $467.74 / $6,165.95	Professional		$316.23	$467.74	$6,165.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $128.82 / $912.01	Professional	26	$95.50	$128.82	$912.01
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 / $1,148.15	Professional		$316.23	$407.38	$1,148.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $117.49 / $177.83	Professional	26	$95.50	$117.49	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $269.15 / $977.24	Professional	TC	$218.78	$269.15	$977.24