Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $123.03 / $371.54	Facility	26	$85.11	$123.03	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $478.63	Professional		$199.53	$263.03	$478.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $89.13 / $190.55	Professional	26	$66.07	$89.13	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $173.78 / $338.84	Professional	TC	$131.83	$173.78	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $57.54 / $81.28	Professional	26	$56.23	$57.54	$81.28
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $109.65 / $165.96	Professional	TC	$109.65	$109.65	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $524.81	Professional		$199.53	$316.23	$524.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $100.00 / $199.53	Professional	26	$63.10	$100.00	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $213.80 / $407.38	Professional	TC	$134.90	$213.80	$407.38
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $549.54 / $549.54 / $707.95	Facility	26	$549.54	$549.54	$707.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $812.83 / $1,479.11	Professional		$245.47	$812.83	$1,479.11
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $95.50 / $478.63	Professional	26	$74.13	$95.50	$478.63
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $630.96 / $1,000.00	Professional	TC	$169.82	$630.96	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $478.63 / $1,047.13	Professional		$245.47	$478.63	$1,047.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $89.13 / $151.36	Professional	26	$74.13	$89.13	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $309.03 / $933.25	Professional	TC	$169.82	$309.03	$933.25