Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $129.40 / $212.05 / $252.65	Facility	26	$129.40	$212.05	$252.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $482.66 / $844.51	Professional		$370.50	$482.66	$844.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.22 / $155.58 / $252.65	Professional	26	$131.22	$155.58	$252.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $392.11 / $591.86	Professional	TC	$335.00	$392.11	$591.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $244.12 / $254.51 / $254.51	Professional		$244.12	$254.51	$254.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.59 / $76.59 / $108.68	Professional	26	$75.59	$76.59	$108.68
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $179.05 / $179.05 / $179.05	Professional	TC	$179.05	$179.05	$179.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $629.00 / $629.00 / $629.00	Professional		$629.00	$629.00	$629.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.22 / $616.07 / $1,591.00	Professional		$283.22	$616.07	$1,591.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.62 / $133.47 / $192.16	Professional	26	$85.62	$133.47	$192.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $222.91 / $454.77 / $1,408.00	Professional	TC	$222.91	$454.77	$1,408.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $745.12 / $950.80 / $950.80	Facility	26	$745.12	$950.80	$950.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $409.35 / $878.72 / $5,978.92	Professional		$409.35	$878.72	$5,978.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $97.23 / $144.21 / $733.09	Professional	26	$97.23	$144.21	$733.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $293.88 / $781.49 / $5,438.76	Professional	TC	$293.88	$781.49	$5,438.76
United Facility/Professional Professional Modifier Low / Median / High Price $396.26 / $673.64 / $1,214.95	Professional		$396.26	$673.64	$1,214.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.23 / $120.29 / $207.59	Professional	26	$97.23	$120.29	$207.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $286.91 / $505.49 / $1,031.33	Professional	TC	$286.91	$505.49	$1,031.33