Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.86 / $146.22 / $169.50	Facility	26	$98.86	$146.22	$169.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $428.90 / $686.58	Professional		$250.00	$428.90	$686.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $108.42 / $170.31	Professional	26	$62.50	$108.42	$170.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $320.49 / $516.27	Professional	TC	$187.50	$320.49	$516.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $430.50 / $430.50 / $577.04	Professional		$430.50	$430.50	$577.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $161.33 / $161.33 / $168.79	Professional	26	$161.33	$161.33	$168.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.20 / $407.40 / $559.41	Professional		$102.20	$407.40	$559.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.53 / $98.53 / $158.86	Facility	26	$98.53	$98.53	$158.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.63 / $552.22 / $920.97	Professional		$330.63	$552.22	$920.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.98 / $100.69 / $169.59	Professional	26	$87.98	$100.69	$169.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.25 / $452.44 / $751.26	Professional	TC	$239.25	$452.44	$751.26
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 $398.05 / $556.58 / $5,981.06	Professional		$398.05	$556.58	$5,981.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.29 / $112.64 / $894.00	Professional	26	$87.29	$112.64	$894.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $303.93 / $561.98 / $5,438.76	Professional	TC	$303.93	$561.98	$5,438.76
United Facility/Professional Professional Modifier Low / Median / High Price $390.20 / $468.15 / $971.67	Professional		$390.20	$468.15	$971.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.29 / $109.71 / $195.13	Professional	26	$87.29	$109.71	$195.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $303.93 / $380.32 / $792.90	Professional	TC	$303.93	$380.32	$792.90