Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.99 / $127.83 / $175.85	Facility	26	$108.99	$127.83	$175.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $335.52 / $372.31	Professional		$171.00	$335.52	$372.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $119.07 / $151.46	Professional	26	$51.30	$119.07	$151.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $210.15 / $266.22	Professional	TC	$119.70	$210.15	$266.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $327.23 / $327.23 / $327.23	Professional		$327.23	$327.23	$327.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $84.23 / $107.75 / $131.60	Professional	26	$84.23	$107.75	$131.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.05 / $368.55 / $506.07	Professional		$113.05	$368.55	$506.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $175.11 / $175.11 / $175.11	Facility	26	$175.11	$175.11	$175.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.99 / $423.66 / $640.15	Professional		$279.99	$423.66	$640.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.43 / $111.09 / $186.04	Professional	26	$92.43	$111.09	$186.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $178.91 / $290.75 / $492.37	Professional	TC	$178.91	$290.75	$492.37
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $822.80 / $1,056.00 / $1,056.00	Facility	26	$822.80	$1,056.00	$1,056.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $317.04 / $422.72 / $2,091.94	Professional		$317.04	$422.72	$2,091.94
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $102.77 / $120.90 / $711.82	Professional	26	$102.77	$120.90	$711.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $212.88 / $318.10 / $1,773.11	Professional	TC	$212.88	$318.10	$1,773.11
United Facility/Professional Professional Modifier Low / Median / High Price $318.06 / $402.15 / $718.39	Professional		$318.06	$402.15	$718.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.77 / $120.90 / $181.54	Professional	26	$102.77	$120.90	$181.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $212.88 / $269.16 / $532.30	Professional	TC	$212.88	$269.16	$532.30