Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.34 / $72.54 / $97.43	Facility	26	$60.34	$72.54	$97.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.97 / $178.65 / $243.59	Professional		$130.97	$178.65	$243.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.39 / $58.00 / $86.74	Professional	26	$45.39	$58.00	$86.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.20 / $127.33 / $201.03	Professional	TC	$84.20	$127.33	$201.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.57 / $202.75 / $218.69	Professional		$94.57	$202.75	$218.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.88 / $35.22 / $50.14	Professional	26	$34.88	$35.22	$50.14
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $96.99 / $96.99 / $96.99	Professional	TC	$96.99	$96.99	$96.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.19 / $285.19 / $285.19	Professional		$285.19	$285.19	$285.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.64 / $230.96 / $413.00	Professional		$108.64	$230.96	$413.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.53 / $66.89 / $129.00	Professional	26	$40.53	$66.89	$129.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.78 / $149.52 / $284.00	Professional	TC	$75.78	$149.52	$284.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $341.52 / $442.24 / $442.24	Facility	26	$341.52	$442.24	$442.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.80 / $265.70 / $1,378.78	Professional		$162.80	$265.70	$1,378.78
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $49.50 / $69.92 / $300.10	Professional	26	$49.50	$69.92	$300.10
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $108.68 / $200.30 / $1,332.00	Professional	TC	$108.68	$200.30	$1,332.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.35 / $235.66 / $323.70	Professional		$157.35	$235.66	$323.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.50 / $61.50 / $93.08	Professional	26	$49.50	$61.50	$93.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $106.10 / $153.36 / $232.20	Professional	TC	$106.10	$153.36	$232.20