Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $112.20 / $275.42	Facility	26	$89.13	$112.20	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $457.09	Professional		$218.78	$288.40	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $81.28 / $151.36	Professional	26	$56.23	$81.28	$151.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $218.78 / $354.81	Professional	TC	$162.18	$218.78	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $173.78 / $208.93	Professional		$169.82	$173.78	$208.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $45.71 / $100.00	Professional	26	$44.67	$45.71	$100.00
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $199.53 / $199.53	Professional	TC	$199.53	$199.53	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $338.84 / $575.44	Professional		$194.98	$338.84	$575.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $79.43 / $141.25	Professional	26	$51.29	$79.43	$141.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $257.04 / $467.74	Professional	TC	$144.54	$257.04	$467.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $436.52 / $562.34 / $562.34	Facility	26	$436.52	$562.34	$562.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $1,862.09	Professional		$245.47	$371.54	$1,862.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $85.11 / $446.68	Professional	26	$57.54	$85.11	$446.68
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $281.84 / $2,089.30	Professional	TC	$177.83	$281.84	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $338.84 / $446.68	Professional		$245.47	$338.84	$446.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $70.79 / $112.20	Professional	26	$57.54	$70.79	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $257.04 / $354.81	Professional	TC	$177.83	$257.04	$354.81