Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $103.48 / $154.25 / $189.64	Facility	26	$103.48	$154.25	$189.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $425.12 / $595.79	Professional		$250.00	$425.12	$595.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $136.69 / $173.09	Professional	26	$62.50	$136.69	$173.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $335.00 / $422.70	Professional	TC	$187.50	$335.00	$422.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $341.67 / $345.39 / $345.39	Professional		$341.67	$345.39	$345.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.67 / $99.39 / $178.12	Professional	26	$77.67	$99.39	$178.12
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $268.54 / $268.54 / $268.54	Professional	TC	$268.54	$268.54	$268.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.15 / $353.15 / $484.93	Professional		$109.15	$353.15	$484.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $103.76 / $103.76 / $166.57	Facility	26	$103.76	$103.76	$166.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.51 / $568.90 / $928.71	Professional		$291.51	$568.90	$928.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.90 / $104.40 / $172.18	Professional	26	$91.90	$104.40	$172.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $198.31 / $404.66 / $791.09	Professional	TC	$198.31	$404.66	$791.09
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 $345.69 / $513.79 / $6,025.38	Professional		$345.69	$513.79	$6,025.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $91.80 / $118.34 / $891.52	Professional	26	$91.80	$118.34	$891.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $248.35 / $489.19 / $5,457.89	Professional	TC	$248.35	$489.19	$5,457.89
United Facility/Professional Professional Modifier Low / Median / High Price $345.69 / $437.09 / $1,007.48	Professional		$345.69	$437.09	$1,007.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.80 / $111.88 / $174.28	Professional	26	$91.80	$111.88	$174.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $248.35 / $318.87 / $723.75	Professional	TC	$248.35	$318.87	$723.75