Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.04 / $173.78 / $478.63	Facility	26	$138.04	$173.78	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $758.58	Professional		$363.08	$478.63	$758.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $125.89 / $331.13	Professional	26	$91.20	$125.89	$331.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $354.81 / $537.03	Professional	TC	$269.15	$354.81	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $309.03	Professional		$302.00	$302.00	$309.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $100.00 / $158.49	Professional	26	$77.62	$100.00	$158.49
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $199.53 / $323.59	Professional	TC	$199.53	$199.53	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $575.44 / $933.25	Professional		$323.59	$575.44	$933.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $134.90 / $194.98	Professional	26	$87.10	$134.90	$194.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $416.87 / $758.58	Professional	TC	$234.42	$416.87	$758.58
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $758.58 / $758.58 / $977.24	Facility	26	$758.58	$758.58	$977.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $2,570.40	Professional		$398.11	$616.60	$2,570.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $138.04 / $660.69	Professional	26	$104.71	$138.04	$660.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $467.74 / $2,041.74	Professional	TC	$288.40	$467.74	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $562.34 / $776.25	Professional		$398.11	$562.34	$776.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $123.03 / $190.55	Professional	26	$104.71	$123.03	$190.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $436.52 / $588.84	Professional	TC	$288.40	$436.52	$588.84