Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.64 / $113.77 / $132.37	Facility	26	$83.64	$113.77	$132.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $335.48 / $408.98	Professional		$171.00	$335.48	$408.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $91.92 / $116.34	Professional	26	$51.30	$91.92	$116.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $243.56 / $292.64	Professional	TC	$119.70	$243.56	$292.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $298.22 / $379.37 / $379.37	Professional		$298.22	$379.37	$379.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.97 / $80.12 / $108.70	Professional	26	$63.97	$80.12	$108.70
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $247.59 / $247.59 / $337.01	Professional	TC	$247.59	$247.59	$337.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.45 / $306.95 / $421.49	Professional		$86.45	$306.95	$421.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $139.13 / $139.13 / $139.13	Facility	26	$139.13	$139.13	$139.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.43 / $301.82 / $487.76	Professional		$257.43	$301.82	$487.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.97 / $85.73 / $144.33	Professional	26	$72.97	$85.73	$144.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $180.93 / $215.44 / $358.97	Professional	TC	$180.93	$215.44	$358.97
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 $283.52 / $354.44 / $2,077.84	Professional		$283.52	$354.44	$2,077.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $80.52 / $93.70 / $547.02	Professional	26	$80.52	$93.70	$547.02
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $195.95 / $238.92 / $2,614.00	Professional	TC	$195.95	$238.92	$2,614.00
United Facility/Professional Professional Modifier Low / Median / High Price $283.52 / $332.39 / $550.54	Professional		$283.52	$332.39	$550.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.31 / $93.47 / $148.54	Professional	26	$81.31	$93.47	$148.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $192.06 / $238.92 / $399.59	Professional	TC	$192.06	$238.92	$399.59