Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $154.88 / $630.96	Facility	26	$117.49	$154.88	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $467.74 / $724.44	Professional		$229.09	$467.74	$724.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $141.25 / $275.42	Professional	26	$85.11	$141.25	$275.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $354.81 / $645.65	Professional	TC	$269.15	$354.81	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $575.44	Professional		$281.84	$380.19	$575.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $77.62 / $177.83	Professional	26	$75.86	$77.62	$177.83
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $218.78 / $416.87	Professional	TC	$218.78	$218.78	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $407.38 / $562.34	Professional		$102.33	$407.38	$562.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $97.72 / $158.49	Facility	26	$97.72	$97.72	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $575.44 / $1,023.29	Professional		$354.81	$575.44	$1,023.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $104.71 / $177.83	Professional	26	$85.11	$104.71	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $478.63 / $851.14	Professional	TC	$275.42	$478.63	$851.14
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $741.31 / $954.99 / $954.99	Facility	26	$741.31	$954.99	$954.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $6,025.60	Professional		$398.11	$549.54	$6,025.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $117.49 / $891.25	Professional	26	$87.10	$117.49	$891.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $524.81 / $5,495.41	Professional	TC	$302.00	$524.81	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $478.63 / $1,047.13	Professional		$389.05	$478.63	$1,047.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $109.65 / $158.49	Professional	26	$87.10	$109.65	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $363.08 / $933.25	Professional	TC	$295.12	$363.08	$933.25