Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.91 / $76.09 / $119.19	Facility	26	$66.91	$76.09	$119.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.98 / $423.18 / $540.79	Professional		$308.98	$423.18	$540.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.98 / $76.03 / $88.78	Professional	26	$52.98	$76.03	$88.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $256.00 / $346.06 / $468.45	Professional	TC	$256.00	$346.06	$468.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $540.79	Professional		$328.34	$328.34	$540.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.46 / $90.65 / $130.41	Professional	26	$61.46	$90.65	$130.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.32 / $449.40 / $617.09	Professional		$95.32	$449.40	$617.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.83 / $443.55 / $722.62	Professional		$370.83	$443.55	$722.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.56 / $75.69 / $120.59	Professional	26	$69.56	$75.69	$120.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $297.08 / $361.76 / $609.61	Professional	TC	$297.08	$361.76	$609.61
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $192.44 / $1,357.70 / $1,357.70	Facility	26	$192.44	$1,357.70	$1,357.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $421.76 / $545.02 / $4,499.00	Professional		$421.76	$545.02	$4,499.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $72.40 / $92.37 / $1,350.00	Professional	26	$72.40	$92.37	$1,350.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $351.07 / $465.26 / $3,149.00	Professional	TC	$351.07	$465.26	$3,149.00
United Facility/Professional Professional Modifier Low / Median / High Price $406.51 / $533.54 / $772.12	Professional		$406.51	$533.54	$772.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.14 / $88.17 / $127.76	Professional	26	$70.14	$88.17	$127.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $338.37 / $438.57 / $642.70	Professional	TC	$338.37	$438.57	$642.70