Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.21 / $144.26 / $180.65	Facility	26	$98.21	$144.26	$180.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $475.00 / $783.77	Professional		$370.50	$475.00	$783.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.53 / $140.00 / $193.09	Professional	26	$107.53	$140.00	$193.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $393.25 / $592.55	Professional	TC	$335.00	$393.25	$592.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $225.72 / $271.72 / $271.72	Professional		$225.72	$271.72	$271.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.97 / $60.59 / $81.89	Professional	26	$56.97	$60.59	$81.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $573.54 / $573.54 / $573.54	Professional		$573.54	$573.54	$573.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.07 / $531.95 / $895.00	Professional		$263.07	$531.95	$895.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.66 / $102.46 / $145.19	Professional	26	$65.66	$102.46	$145.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.55 / $413.33 / $761.00	Professional	TC	$223.55	$413.33	$761.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $558.79 / $720.40 / $720.40	Facility	26	$558.79	$720.40	$720.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $383.75 / $626.79 / $3,348.15	Professional		$383.75	$626.79	$3,348.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $73.53 / $110.25 / $597.70	Professional	26	$73.53	$110.25	$597.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $295.35 / $515.23 / $2,941.88	Professional	TC	$295.35	$515.23	$2,941.88
United Facility/Professional Professional Modifier Low / Median / High Price $372.08 / $558.12 / $712.40	Professional		$372.08	$558.12	$712.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.53 / $92.10 / $166.96	Professional	26	$73.53	$92.10	$166.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $288.35 / $482.23 / $613.70	Professional	TC	$288.35	$482.23	$613.70