Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $173.78 / $234.42 / $467.74	Facility	26	$173.78	$234.42	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $1,000.00	Professional		$354.81	$489.78	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $151.36 / $309.03	Professional	26	$97.72	$151.36	$309.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $354.81 / $724.44	Professional	TC	$245.47	$354.81	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $269.15 / $316.23	Professional		$245.47	$269.15	$316.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $87.10 / $162.18	Professional	26	$77.62	$87.10	$162.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $275.42 / $275.42	Professional	TC	$154.88	$275.42	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $588.84 / $1,288.25	Professional		$288.40	$588.84	$1,288.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $138.04 / $257.04	Professional	26	$89.13	$138.04	$257.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $426.58 / $977.24	Professional	TC	$223.87	$426.58	$977.24
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $758.58 / $758.58 / $977.24	Facility	26	$758.58	$758.58	$977.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $891.25 / $6,025.60	Professional		$389.05	$891.25	$6,025.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $147.91 / $891.25	Professional	26	$102.33	$147.91	$891.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $724.44 / $5,495.41	Professional	TC	$275.42	$724.44	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $630.96 / $1,202.26	Professional		$389.05	$630.96	$1,202.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $123.03 / $208.93	Professional	26	$102.33	$123.03	$208.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $457.09 / $1,000.00	Professional	TC	$275.42	$457.09	$1,000.00