Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $129.00 / $171.11 / $253.43	Facility	26	$129.00	$171.11	$253.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $554.47 / $969.61	Professional		$475.00	$554.47	$969.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $140.00 / $155.58 / $253.44	Professional	26	$140.00	$155.58	$253.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $476.63 / $716.18	Professional	TC	$335.00	$476.63	$716.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $598.29 / $598.29 / $598.29	Professional		$598.29	$598.29	$598.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.59 / $75.59 / $108.68	Professional	26	$75.59	$75.59	$108.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $649.54 / $649.54 / $649.54	Professional		$649.54	$649.54	$649.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.97 / $657.06 / $1,586.00	Professional		$324.97	$657.06	$1,586.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.91 / $136.16 / $192.77	Professional	26	$85.91	$136.16	$192.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $270.95 / $511.60 / $1,408.00	Professional	TC	$270.95	$511.60	$1,408.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $745.12 / $957.12 / $957.12	Facility	26	$745.12	$957.12	$957.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $472.83 / $854.41 / $5,981.06	Professional		$472.83	$854.41	$5,981.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $97.23 / $144.69 / $894.00	Professional	26	$97.23	$144.69	$894.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $357.82 / $757.18 / $5,438.76	Professional	TC	$357.82	$757.18	$5,438.76
United Facility/Professional Professional Modifier Low / Median / High Price $452.38 / $743.64 / $1,215.38	Professional		$452.38	$743.64	$1,215.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.23 / $120.68 / $208.26	Professional	26	$97.23	$120.68	$208.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $349.35 / $615.47 / $999.62	Professional	TC	$349.35	$615.47	$999.62