Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.93 / $98.27 / $183.26	Facility	26	$91.93	$98.27	$183.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.55 / $481.64 / $666.02	Professional		$421.55	$481.64	$666.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.73 / $81.55 / $100.22	Professional	26	$67.73	$81.55	$100.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $350.61 / $395.08 / $565.79	Professional	TC	$350.61	$395.08	$565.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $469.32 / $469.32 / $469.32	Professional		$469.32	$469.32	$469.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $65.20 / $89.75 / $129.94	Professional	26	$65.20	$89.75	$129.94
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $259.06 / $259.06 / $259.06	Professional	TC	$259.06	$259.06	$259.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $666.31 / $666.31 / $666.31	Professional		$666.31	$666.31	$666.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.54 / $565.70 / $808.80	Professional		$420.54	$565.70	$808.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.98 / $110.84 / $137.47	Professional	26	$69.98	$110.84	$137.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $354.29 / $554.53 / $715.28	Professional	TC	$354.29	$554.53	$715.28
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $192.44 / $192.44 / $192.44	Facility	26	$192.44	$192.44	$192.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $434.58 / $558.95 / $4,499.00	Professional		$434.58	$558.95	$4,499.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $84.04 / $104.60 / $1,350.00	Professional	26	$84.04	$104.60	$1,350.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $329.98 / $465.26 / $3,149.00	Professional	TC	$329.98	$465.26	$3,149.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.58 / $522.98 / $859.75	Professional		$434.58	$522.98	$859.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.61 / $92.45 / $166.79	Professional	26	$82.61	$92.45	$166.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $302.52 / $461.93 / $784.67	Professional	TC	$302.52	$461.93	$784.67