Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.86 / $123.00 / $172.77	Facility	26	$87.86	$123.00	$172.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.47 / $253.48 / $475.00	Professional		$217.47	$253.48	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.22 / $86.61 / $140.00	Professional	26	$73.22	$86.61	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.25 / $170.91 / $335.00	Professional	TC	$144.25	$170.91	$335.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.94 / $158.94 / $165.39	Professional		$158.94	$158.94	$165.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $55.98 / $55.98 / $55.98	Professional	26	$55.98	$55.98	$55.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.35 / $371.35 / $371.35	Professional		$371.35	$371.35	$371.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.69 / $320.60 / $432.48	Professional		$201.69	$320.60	$432.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.58 / $100.60 / $142.44	Professional	26	$63.58	$100.60	$142.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $133.84 / $216.27 / $290.04	Professional	TC	$133.84	$216.27	$290.04
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $549.04 / $707.68 / $707.68	Facility	26	$549.04	$707.68	$707.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $264.31 / $902.01 / $1,484.56	Professional		$264.31	$902.01	$1,484.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $73.90 / $98.30 / $478.82	Professional	26	$73.90	$98.30	$478.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $177.80 / $789.72 / $1,005.68	Professional	TC	$177.80	$789.72	$1,005.68
United Facility/Professional Professional Modifier Low / Median / High Price $255.51 / $475.16 / $1,110.69	Professional		$255.51	$475.16	$1,110.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.90 / $90.11 / $158.76	Professional	26	$73.90	$90.11	$158.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.59 / $326.30 / $937.08	Professional	TC	$173.59	$326.30	$937.08