Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.64 / $127.76 / $145.63	Facility	26	$92.64	$127.76	$145.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $388.85 / $457.72	Professional		$171.00	$388.85	$457.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $100.52 / $127.77	Professional	26	$51.30	$100.52	$127.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $290.14 / $329.96	Professional	TC	$119.70	$290.14	$329.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $333.86 / $341.92 / $341.92	Professional		$333.86	$341.92	$341.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $70.72 / $92.82 / $119.34	Professional	26	$70.72	$92.82	$119.34
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $279.41 / $279.41 / $385.94	Professional	TC	$279.41	$279.41	$385.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $344.05 / $472.43	Professional		$99.00	$344.05	$472.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $153.76 / $153.76 / $153.76	Facility	26	$153.76	$153.76	$153.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.27 / $378.34 / $593.21	Professional		$288.27	$378.34	$593.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.72 / $94.07 / $158.43	Professional	26	$80.72	$94.07	$158.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.18 / $284.75 / $464.95	Professional	TC	$204.18	$284.75	$464.95
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $690.96 / $887.84 / $887.84	Facility	26	$690.96	$887.84	$887.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $320.62 / $410.88 / $2,326.86	Professional		$320.62	$410.88	$2,326.86
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $88.60 / $102.71 / $600.70	Professional	26	$88.60	$102.71	$600.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $225.07 / $315.01 / $2,909.00	Professional	TC	$225.07	$315.01	$2,909.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.02 / $373.53 / $633.50	Professional		$319.02	$373.53	$633.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $88.87 / $102.49 / $156.06	Professional	26	$88.87	$102.49	$156.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $221.05 / $277.62 / $470.50	Professional	TC	$221.05	$277.62	$470.50