Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.57 / $146.22 / $168.98	Facility	26	$98.57	$146.22	$168.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $425.00 / $594.66	Professional		$250.00	$425.00	$594.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $110.00 / $168.98	Professional	26	$62.50	$110.00	$168.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $335.00 / $424.91	Professional	TC	$187.50	$335.00	$424.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $76.14 / $95.18 / $161.33	Professional	26	$76.14	$95.18	$161.33
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $240.02 / $240.02 / $449.00	Professional	TC	$240.02	$240.02	$449.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.31 / $352.45 / $483.96	Professional		$107.31	$352.45	$483.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.82 / $98.82 / $158.37	Facility	26	$98.82	$98.82	$158.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.51 / $566.67 / $917.02	Professional		$290.51	$566.67	$917.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.98 / $100.39 / $169.08	Professional	26	$87.98	$100.39	$169.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.14 / $406.71 / $789.31	Professional	TC	$199.14	$406.71	$789.31
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 $344.75 / $515.14 / $5,978.92	Professional		$344.75	$515.14	$5,978.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.29 / $115.47 / $733.09	Professional	26	$87.29	$115.47	$733.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $249.61 / $491.67 / $5,438.76	Professional	TC	$249.61	$491.67	$5,438.76
United Facility/Professional Professional Modifier Low / Median / High Price $344.75 / $455.70 / $1,048.63	Professional		$344.75	$455.70	$1,048.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.29 / $109.35 / $209.51	Professional	26	$87.29	$109.35	$209.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $249.61 / $344.29 / $870.06	Professional	TC	$249.61	$344.29	$870.06