Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.20 / $91.07 / $106.25	Facility	26	$62.20	$91.07	$106.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.37 / $367.72 / $475.00	Professional		$230.37	$367.72	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $105.62 / $140.00	Professional	26	$62.50	$105.62	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $163.84 / $262.10 / $335.00	Professional	TC	$163.84	$262.10	$335.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $334.85 / $334.85 / $334.85	Professional		$334.85	$334.85	$334.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.49 / $60.78 / $100.87	Professional	26	$47.49	$60.78	$100.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.70 / $232.05 / $318.64	Professional		$63.70	$232.05	$318.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.82 / $61.82 / $99.41	Facility	26	$61.82	$61.82	$99.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.69 / $379.72 / $601.01	Professional		$191.69	$379.72	$601.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.26 / $63.26 / $106.54	Professional	26	$55.26	$63.26	$106.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.69 / $290.50 / $521.30	Professional	TC	$134.69	$290.50	$521.30
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $463.68 / $596.96 / $596.96	Facility	26	$463.68	$596.96	$596.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $227.64 / $367.67 / $2,789.74	Professional		$227.64	$367.67	$2,789.74
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.76 / $72.78 / $531.65	Professional	26	$54.76	$72.78	$531.65
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $167.67 / $330.24 / $2,459.04	Professional	TC	$167.67	$330.24	$2,459.04
United Facility/Professional Professional Modifier Low / Median / High Price $222.40 / $300.89 / $588.71	Professional		$222.40	$300.89	$588.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.76 / $68.93 / $128.80	Professional	26	$54.76	$68.93	$128.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $167.67 / $244.75 / $501.67	Professional	TC	$167.67	$244.75	$501.67