Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.34 / $72.54 / $97.43	Facility	26	$60.34	$72.54	$97.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.72 / $187.29 / $228.18	Professional		$148.72	$187.29	$228.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.74 / $60.40 / $88.07	Professional	26	$44.74	$60.40	$88.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $101.94 / $154.21 / $214.68	Professional	TC	$101.94	$154.21	$214.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.51 / $135.10 / $258.58	Professional		$116.51	$135.10	$258.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.88 / $35.74 / $50.44	Professional	26	$34.88	$35.74	$50.44
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $81.63 / $81.63 / $81.63	Professional	TC	$81.63	$81.63	$81.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.00 / $296.00 / $296.00	Professional		$296.00	$296.00	$296.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.03 / $258.23 / $413.00	Professional		$135.03	$258.23	$413.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.81 / $66.89 / $129.00	Professional	26	$40.81	$66.89	$129.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $105.39 / $187.27 / $308.81	Professional	TC	$105.39	$187.27	$308.81
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $341.52 / $442.24 / $442.24	Facility	26	$341.52	$442.24	$442.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $187.56 / $272.30 / $1,378.78	Professional		$187.56	$272.30	$1,378.78
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $49.50 / $69.93 / $300.10	Professional	26	$49.50	$69.93	$300.10
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $133.44 / $208.45 / $1,103.98	Professional	TC	$133.44	$208.45	$1,103.98
United Facility/Professional Professional Modifier Low / Median / High Price $181.53 / $249.80 / $341.97	Professional		$181.53	$249.80	$341.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.50 / $61.50 / $93.08	Professional	26	$49.50	$61.50	$93.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $130.28 / $187.35 / $246.41	Professional	TC	$130.28	$187.35	$246.41