Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $135.53 / $216.26 / $257.76	Facility	26	$135.53	$216.26	$257.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $494.18 / $847.27	Professional		$475.00	$494.18	$847.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $135.53 / $161.00 / $257.77	Professional	26	$135.53	$161.00	$257.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $390.07 / $677.93	Professional	TC	$335.00	$390.07	$677.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $244.94 / $244.94 / $526.58	Professional		$244.94	$244.94	$526.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.13 / $77.51 / $110.87	Professional	26	$77.13	$77.51	$110.87
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $167.81 / $231.80 / $272.70	Professional	TC	$167.81	$231.80	$272.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $637.00 / $637.00 / $637.00	Professional		$637.00	$637.00	$637.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.10 / $577.65 / $1,597.00	Professional		$284.10	$577.65	$1,597.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.77 / $138.83 / $202.19	Professional	26	$89.77	$138.83	$202.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $221.75 / $452.53 / $1,411.00	Professional	TC	$221.75	$452.53	$1,411.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $759.68 / $973.04 / $973.04	Facility	26	$759.68	$973.04	$973.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $410.54 / $886.10 / $6,025.38	Professional		$410.54	$886.10	$6,025.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $102.24 / $155.09 / $891.52	Professional	26	$102.24	$155.09	$891.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $292.39 / $783.86 / $5,457.89	Professional	TC	$292.39	$783.86	$5,457.89
United Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $675.50 / $1,224.74	Professional		$392.09	$675.50	$1,224.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.24 / $123.07 / $212.39	Professional	26	$102.24	$123.07	$212.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $279.26 / $485.30 / $1,002.62	Professional	TC	$279.26	$485.30	$1,002.62