Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.56 / $138.71 / $180.65	Facility	26	$97.56	$138.71	$180.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $475.00 / $782.99	Professional		$370.50	$475.00	$782.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.53 / $140.00 / $191.21	Professional	26	$107.53	$140.00	$191.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $392.23 / $591.78	Professional	TC	$335.00	$392.23	$591.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $224.55 / $224.55 / $234.12	Professional		$224.55	$224.55	$234.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.97 / $57.02 / $81.89	Professional	26	$56.97	$57.02	$81.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.41 / $572.41 / $572.41	Professional		$572.41	$572.41	$572.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.80 / $530.94 / $895.00	Professional		$262.80	$530.94	$895.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.04 / $102.46 / $145.19	Professional	26	$65.04	$102.46	$145.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $222.97 / $412.32 / $761.00	Professional	TC	$222.97	$412.32	$761.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $558.79 / $723.52 / $723.52	Facility	26	$558.79	$723.52	$723.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $382.50 / $623.34 / $3,348.15	Professional		$382.50	$623.34	$3,348.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $73.53 / $115.22 / $586.14	Professional	26	$73.53	$115.22	$586.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $294.61 / $506.10 / $2,941.88	Professional	TC	$294.61	$506.10	$2,941.88
United Facility/Professional Professional Modifier Low / Median / High Price $371.36 / $563.98 / $853.45	Professional		$371.36	$563.98	$853.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.53 / $92.11 / $158.91	Professional	26	$73.53	$92.11	$158.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $287.63 / $460.21 / $613.70	Professional	TC	$287.63	$460.21	$613.70