Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $109.65 / $281.84	Facility	26	$66.07	$109.65	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $630.96	Professional		$223.87	$302.00	$630.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $85.11 / $158.49	Professional	26	$61.66	$85.11	$158.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $257.04 / $407.38	Professional	TC	$162.18	$257.04	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $194.98 / $478.63	Professional		$186.21	$194.98	$478.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $58.88 / $109.65	Professional	26	$48.98	$58.88	$109.65
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $208.93 / $208.93	Professional	TC	$147.91	$208.93	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $407.38 / $724.44	Professional		$213.80	$407.38	$724.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $87.10 / $186.21	Professional	26	$56.23	$87.10	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $323.59 / $588.84	Professional	TC	$165.96	$323.59	$588.84
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $478.63 / $616.60 / $616.60	Facility	26	$478.63	$616.60	$616.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $436.52 / $2,398.83	Professional		$275.42	$436.52	$2,398.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $93.33 / $537.03	Professional	26	$63.10	$93.33	$537.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $363.08 / $2,630.27	Professional	TC	$204.17	$363.08	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $398.11 / $537.03	Professional		$275.42	$398.11	$537.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $77.62 / $123.03	Professional	26	$63.10	$77.62	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $302.00 / $426.58	Professional	TC	$204.17	$302.00	$426.58