Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.21 / $45.12 / $84.17	Facility	26	$42.21	$45.12	$84.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.13 / $261.45 / $353.69	Professional		$206.13	$261.45	$353.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.73 / $37.58 / $45.12	Professional	26	$30.73	$37.58	$45.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $165.53 / $223.88 / $309.10	Professional	TC	$165.53	$223.88	$309.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $189.72 / $189.72 / $284.58	Professional		$189.72	$189.72	$284.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.31 / $40.82 / $59.19	Professional	26	$29.31	$40.82	$59.19
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $166.67 / $166.67 / $166.67	Professional	TC	$166.67	$166.67	$166.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.26 / $338.26 / $338.26	Professional		$338.26	$338.26	$338.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.72 / $260.20 / $466.59	Professional		$159.72	$260.20	$466.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.63 / $49.52 / $63.31	Professional	26	$31.63	$49.52	$63.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.11 / $224.36 / $403.28	Professional	TC	$128.11	$224.36	$403.28
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $87.34 / $87.34 / $87.34	Facility	26	$87.34	$87.34	$87.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.24 / $294.44 / $2,395.00	Professional		$204.24	$294.44	$2,395.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $38.09 / $46.92 / $719.00	Professional	26	$38.09	$46.92	$719.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $162.44 / $250.63 / $1,676.00	Professional	TC	$162.44	$250.63	$1,676.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.45 / $291.31 / $529.46	Professional		$199.45	$291.31	$529.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.28 / $42.05 / $77.01	Professional	26	$37.28	$42.05	$77.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $162.44 / $244.68 / $453.96	Professional	TC	$162.44	$244.68	$453.96