Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $103.48 / $164.31 / $209.76	Facility	26	$103.48	$164.31	$209.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $475.00 / $594.67	Professional		$250.00	$475.00	$594.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $136.69 / $173.65	Professional	26	$62.50	$136.69	$173.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $335.00 / $421.04	Professional	TC	$187.50	$335.00	$421.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $340.35 / $423.50 / $423.50	Professional		$340.35	$423.50	$423.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.67 / $96.17 / $164.61	Professional	26	$77.67	$96.17	$164.61
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $133.52 / $133.52 / $133.52	Professional	TC	$133.52	$133.52	$133.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.95 / $352.45 / $483.96	Professional		$103.95	$352.45	$483.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $103.76 / $103.76 / $166.57	Facility	26	$103.76	$103.76	$166.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.39 / $568.12 / $928.71	Professional		$290.39	$568.12	$928.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.90 / $104.40 / $172.18	Professional	26	$91.90	$104.40	$172.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $197.20 / $403.64 / $790.33	Professional	TC	$197.20	$403.64	$790.33
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 $345.06 / $512.04 / $6,025.38	Professional		$345.06	$512.04	$6,025.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $91.80 / $118.69 / $891.52	Professional	26	$91.80	$118.69	$891.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $247.72 / $487.96 / $5,457.89	Professional	TC	$247.72	$487.96	$5,457.89
United Facility/Professional Professional Modifier Low / Median / High Price $345.06 / $457.14 / $1,088.33	Professional		$345.06	$457.14	$1,088.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.80 / $111.88 / $188.82	Professional	26	$91.80	$111.88	$188.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $247.72 / $331.37 / $893.68	Professional	TC	$247.72	$331.37	$893.68