Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.24 / $97.01 / $118.00	Facility	26	$62.24	$97.01	$118.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $451.13 / $484.39	Professional		$250.00	$451.13	$484.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $100.22 / $140.00	Professional	26	$62.50	$100.22	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $335.00 / $368.50	Professional	TC	$187.50	$335.00	$368.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $335.66 / $335.66 / $449.68	Professional		$335.66	$335.66	$449.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.37 / $47.72 / $105.00	Professional	26	$47.37	$47.72	$105.00
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $271.52 / $271.52 / $271.52	Professional	TC	$271.52	$271.52	$271.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $318.14 / $436.87	Professional		$65.44	$318.14	$436.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.52 / $61.52 / $99.41	Facility	26	$61.52	$61.52	$99.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.79 / $409.77 / $643.79	Professional		$257.79	$409.77	$643.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.34 / $63.56 / $107.05	Professional	26	$55.34	$63.56	$107.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $200.52 / $346.92 / $531.97	Professional	TC	$200.52	$346.92	$531.97
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $466.08 / $603.28 / $603.28	Facility	26	$466.08	$603.28	$603.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $310.79 / $430.04 / $2,819.97	Professional		$310.79	$430.04	$2,819.97
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.76 / $73.03 / $469.00	Professional	26	$54.76	$73.03	$469.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $251.50 / $421.63 / $2,495.53	Professional	TC	$251.50	$421.63	$2,495.53
United Facility/Professional Professional Modifier Low / Median / High Price $311.77 / $383.10 / $686.64	Professional		$311.77	$383.10	$686.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.76 / $69.29 / $118.70	Professional	26	$54.76	$69.29	$118.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $235.90 / $295.16 / $602.14	Professional	TC	$235.90	$295.16	$602.14