Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.05 / $108.47 / $126.31	Facility	26	$80.05	$108.47	$126.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $201.12 / $243.96	Professional		$171.00	$201.12	$243.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $88.14 / $110.91	Professional	26	$51.30	$88.14	$110.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $101.66 / $120.64 / $136.56	Professional	TC	$101.66	$120.64	$136.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $183.40 / $233.79 / $233.79	Professional		$183.40	$233.79	$233.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.24 / $65.06 / $103.33	Professional	26	$61.24	$65.06	$103.33
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $117.59 / $117.59 / $172.08	Professional	TC	$117.59	$117.59	$172.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $184.10 / $252.80	Professional		$87.10	$184.10	$252.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $132.63 / $132.63 / $132.63	Facility	26	$132.63	$132.63	$132.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.05 / $193.79 / $312.83	Professional		$159.05	$193.79	$312.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.59 / $81.78 / $137.72	Professional	26	$69.59	$81.78	$137.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.92 / $112.92 / $186.84	Professional	TC	$85.92	$112.92	$186.84
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $598.00 / $770.72 / $770.72	Facility	26	$598.00	$770.72	$770.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $176.77 / $221.38 / $1,217.23	Professional		$176.77	$221.38	$1,217.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $77.56 / $89.38 / $521.24	Professional	26	$77.56	$89.38	$521.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $98.55 / $124.96 / $1,308.00	Professional	TC	$98.55	$124.96	$1,308.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.77 / $205.17 / $327.02	Professional		$176.77	$205.17	$327.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.56 / $89.14 / $133.71	Professional	26	$77.56	$89.14	$133.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $98.55 / $117.46 / $197.87	Professional	TC	$98.55	$117.46	$197.87