Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $126.35 / $150.76 / $248.05	Facility	26	$126.35	$150.76	$248.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.28 / $396.19 / $520.62	Professional		$340.28	$396.19	$520.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.29 / $124.47 / $164.25	Professional	26	$105.29	$124.47	$164.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $234.99 / $278.48 / $359.62	Professional	TC	$234.99	$278.48	$359.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $248.14 / $248.14 / $258.64	Professional		$248.14	$248.14	$258.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $80.79 / $81.23 / $116.14	Professional	26	$80.79	$81.23	$116.14
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $177.80 / $231.14 / $271.93	Professional	TC	$177.80	$231.14	$271.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $585.38 / $585.38 / $585.38	Professional		$585.38	$585.38	$585.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.73 / $521.59 / $696.19	Professional		$315.73	$521.59	$696.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.90 / $145.51 / $204.12	Professional	26	$90.90	$145.51	$204.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.04 / $354.81 / $471.15	Professional	TC	$218.04	$354.81	$471.15
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $796.48 / $1,020.08 / $1,020.08	Facility	26	$796.48	$1,020.08	$1,020.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $417.37 / $921.44 / $2,337.81	Professional		$417.37	$921.44	$2,337.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $77.17 / $129.41 / $687.65	Professional	26	$77.17	$129.41	$687.65
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $293.14 / $844.27 / $1,650.16	Professional	TC	$293.14	$844.27	$1,650.16
United Facility/Professional Professional Modifier Low / Median / High Price $398.62 / $646.14 / $1,286.78	Professional		$398.62	$646.14	$1,286.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.17 / $124.23 / $223.34	Professional	26	$77.17	$124.23	$223.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $286.19 / $527.00 / $1,028.75	Professional	TC	$286.19	$527.00	$1,028.75