Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $135.94 / $193.33 / $257.76	Facility	26	$135.94	$193.33	$257.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $522.50 / $844.12	Professional		$475.00	$522.50	$844.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $140.00 / $161.00 / $257.77	Professional	26	$140.00	$161.00	$257.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $388.53 / $674.30	Professional	TC	$335.00	$388.53	$674.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $244.00 / $254.33 / $308.14	Professional		$244.00	$254.33	$308.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.13 / $77.51 / $110.87	Professional	26	$77.13	$77.51	$110.87
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $166.88 / $271.18 / $271.18	Professional	TC	$166.88	$271.18	$271.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $637.00 / $637.00 / $637.00	Professional		$637.00	$637.00	$637.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.02 / $576.62 / $1,597.00	Professional		$283.02	$576.62	$1,597.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.77 / $138.83 / $202.19	Professional	26	$89.77	$138.83	$202.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $220.88 / $451.41 / $1,411.00	Professional	TC	$220.88	$451.41	$1,411.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $759.68 / $973.04 / $973.04	Facility	26	$759.68	$973.04	$973.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $409.80 / $885.76 / $6,025.38	Professional		$409.80	$885.76	$6,025.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $102.24 / $155.09 / $891.52	Professional	26	$102.24	$155.09	$891.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $291.66 / $783.52 / $5,457.89	Professional	TC	$291.66	$783.52	$5,457.89
United Facility/Professional Professional Modifier Low / Median / High Price $391.38 / $634.59 / $1,214.57	Professional		$391.38	$634.59	$1,214.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.24 / $132.74 / $212.95	Professional	26	$102.24	$132.74	$212.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $284.74 / $505.00 / $1,021.97	Professional	TC	$284.74	$505.00	$1,021.97