Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.14 / $133.00 / $180.46	Facility	26	$111.14	$133.00	$180.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.68 / $384.45 / $507.91	Professional		$306.68	$384.45	$507.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.47 / $106.83 / $181.69	Professional	26	$80.47	$106.83	$181.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $224.65 / $286.19 / $389.53	Professional	TC	$224.65	$286.19	$389.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.75 / $218.75 / $470.32	Professional		$218.75	$218.75	$470.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.97 / $64.29 / $91.95	Professional	26	$63.97	$64.29	$91.95
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $154.78 / $164.45 / $251.52	Professional	TC	$154.78	$164.45	$251.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $571.00 / $571.00 / $571.00	Professional		$571.00	$571.00	$571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.42 / $443.31 / $553.85	Professional		$256.42	$443.31	$553.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.34 / $114.38 / $162.72	Professional	26	$71.34	$114.38	$162.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $185.50 / $318.43 / $406.87	Professional	TC	$185.50	$318.43	$406.87
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $630.16 / $805.76 / $805.76	Facility	26	$630.16	$805.76	$805.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $332.39 / $443.73 / $2,077.84	Professional		$332.39	$443.73	$2,077.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $93.66 / $127.53 / $547.02	Professional	26	$93.66	$127.53	$547.02
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $238.92 / $316.20 / $2,614.00	Professional	TC	$238.92	$316.20	$2,614.00
United Facility/Professional Professional Modifier Low / Median / High Price $332.39 / $387.66 / $594.52	Professional		$332.39	$387.66	$594.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.47 / $102.95 / $160.88	Professional	26	$93.47	$102.95	$160.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $238.92 / $281.73 / $436.25	Professional	TC	$238.92	$281.73	$436.25