Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.86 / $155.77 / $169.50	Facility	26	$98.86	$155.77	$169.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $454.11 / $726.45	Professional		$250.00	$454.11	$726.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $108.07 / $170.31	Professional	26	$62.50	$108.07	$170.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $346.04 / $556.14	Professional	TC	$187.50	$346.04	$556.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $611.98 / $611.98 / $611.98	Professional		$611.98	$611.98	$611.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.00 / $76.14 / $128.49	Professional	26	$26.00	$76.14	$128.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.20 / $431.55 / $592.58	Professional		$102.20	$431.55	$592.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.82 / $98.82 / $158.86	Facility	26	$98.82	$98.82	$158.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.80 / $584.27 / $925.96	Professional		$350.80	$584.27	$925.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.24 / $100.69 / $169.59	Professional	26	$88.24	$100.69	$169.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $259.43 / $481.38 / $789.69	Professional	TC	$259.43	$481.38	$789.69
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $745.12 / $953.92 / $953.92	Facility	26	$745.12	$953.92	$953.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $420.89 / $583.79 / $5,981.06	Professional		$420.89	$583.79	$5,981.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.61 / $115.85 / $672.78	Professional	26	$87.61	$115.85	$672.78
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $327.80 / $594.04 / $5,438.76	Professional	TC	$327.80	$594.04	$5,438.76
United Facility/Professional Professional Modifier Low / Median / High Price $423.25 / $507.72 / $1,048.99	Professional		$423.25	$507.72	$1,048.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.61 / $109.71 / $205.01	Professional	26	$87.61	$109.71	$205.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $327.80 / $408.86 / $854.50	Professional	TC	$327.80	$408.86	$854.50